Standart Reply Form

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STANDARD REPLY FORM
To the organiser (Attn: ………………………………………)
Event: ..................................................................................... ...............................................................................................
Date/Time: ............................................................................. *Division/Committee: ............................................................
*Fax/Email: ............................................................................
From the participant
Last Name (Mr/Ms/Ir/Prof/Dr): ................................................ First Name: .........................................................................
Name in Chinese (for activities in Mainland China): ……………….………………………………………………………………
Membership No: ………………………………………………..
Division/Committee: ………………………………………………………
*Company Name: ........................................................... *Position: .....................................................................................
*Contact Address: ............................................................ .....................................................................................................
Tel:....................................................... *Fax: ....................................................... Email: ......................................................
Please fill in the following as required:
*I request ......................................................................... place(s) and enclose a cheque no .............................................
payable to ........................................................................ to cover the total cost of HK$ .....................................................
*optional
Important Note:
I sign below to confirm my consent to follow any and all safety instructions given by the organiser(s) and/or the
owner of the premises/sites and to well equip myself with necessary safety gear for participation in the event. I
understand that neither the Institution nor the parties concerned would accept any liability in connection with the
above event.
The information provided will only be used for the purpose of communicating with you on matters related to the
activity. You have rights of access and correction with respect to your personal data held by us. If you wish to
exercise these rights, please contact the Division/Committee concerned or the HKIE Secretariat.
Signature: ................................................................................... Date: ..........................................................................................
Members are reminded to bring along their membership cards to attend all the HKIE's activities.

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