To download the form in Word format, please click here.
 
* Mandatory Field
Personal Particular
Title (Mr/Mrs/Miss/Ms/Dr) :  
Name (English) : *  
Surname (English) : *  
Given Name (English) : *  
Name (Chinese) :  
HKID Number :  
Date of Birth :   / /
Sex :  
E-mail Address : *  
Phone (Home) : *  
Phone (Office) : *  
Phone (Mobile) : *  
Degree : *  
Graduation Year : *  
Address (Home) : *  
Company :  
Capacity :  
Address (Office) :  
Are you a HKU Graduate? *  
If not, please specify your College/University  

Membership *
 

Membership Payment Method *
 

Note:
1.

By Cash - please deposit to HSBC account 004-111-075933001 "Hong Kong University Graduates Association" and fax the bank pay-in slip to our fax: 25916611
 
2.

By cheque - please make payable to "Hong Kong University Graduates Association" and mail it to our address 17/F, Jie Yang Building, No 271 Lockhart Road, Wanchai, Hong Kong

Cheque No.:


 

Remarks (Please inform us any special request in the following box. If you apply couple membership, please fill-in the name of spouse in here.)