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Debenture Programme Application Form
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Individual Debenture Application Form
Part A
Prefix
*
--Select--
Captain
Dr.
Estate of
Judge
Mr.
Mrs.
Ms.
Prof.
Reverend
The Honorable
--Select--
Captain
Dr.
Estate of
Judge
Mr.
Mrs.
Ms.
Prof.
Reverend
The Honorable
First Name
Surname
*
Business Details
Nominee Employment Panel
Click to add information
HKID/Passport Number (if applicable)
Nationality
Marital Status
--Select--
Married
Single
--Select--
Married
Single
Date of Birth D/M/Y
Years of Residence in HK
Residential Address
Nominee Address Panel
Click to add information
Mobile No.
Tel No.
Email
*
Honors: Particulars of any Honors, Decorations, Titles, Academic Degrees, Professional Qualifications, and other similar achievements (abbreviations may be used):
*
Membership Type
*
Payment Type
--Select--
Stage Payment
Bullet Payment
--Select--
Stage Payment
Bullet Payment
Membership of Other Clubs
Click to add information
Other relevant golfing information (e.g. professional statuses etc)
*
Part C
Preferred Correspondence Language:
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