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REGISTRATION FORM
Please provide the following information.
All items must be updated to a complete and exact set before
Feb 28, 2010
.
You
MUST
fill in the fields in red color.
School Information
School Name:
School Address:
District:
+- Please Choose -+
Hong Kong
Kowloon
New Territories
Email:
Tel:
Fax:
Principal:
+- Please Choose -+
Mr.
Miss.
Ms.
Mrs.
Dr.
Fr.
Sr.
Rev.
Surname:
Name:
Team Information
Teacher:
+- Please Choose -+
Mr.
Miss.
Ms.
Mrs.
Dr.
Fr.
Sr.
Rev.
Surname:
Name:
Email:
Tel:
Fax:
Team Members
1.
Surname:
Name:
Date of birth:
yyyy
mm
dd
Class:
+- Please Choose -+
F.1
F.2
F.3
F.4
F.5
F.6
F.7
(As at Feb 28, 2010)
Email:
Tel:
2.
Surname:
Name:
Date of birth:
yyyy
mm
dd
Class:
+- Please Choose -+
F.1
F.2
F.3
F.4
F.5
F.6
F.7
(As at Feb 28, 2010)
Email:
Tel:
3.
Surname:
Name:
Date of birth:
yyyy
mm
dd
Class:
+- Please Choose -+
F.1
F.2
F.3
F.4
F.5
F.6
F.7
(As at Feb 28, 2010)
Email:
Tel:
4.
Surname:
Name:
Date of birth:
yyyy
mm
dd
Class:
+- Please Choose -+
F.1
F.2
F.3
F.4
F.5
F.6
F.7
(As at Feb 28, 2010)
Email:
Tel:
5.
Surname:
Name:
Date of birth:
yyyy
mm
dd
Class:
+- Please Choose -+
F.1
F.2
F.3
F.4
F.5
F.6
F.7
(As at Feb 28, 2010)
Email:
Tel:
Hang Lung Mathematics Awards c/o Department of Mathematics
The Chinese University of Hong Kong, Shatin, NT, Hong Kong
exec-hanglung@math.cuhk.edu.hk