Mr/ Miss / Mrs/ Ms
English/ Pinyin Name printed on ID Card/Passport: Please enter your name
Chinese Name: Please enter your Chinese name
Age Group: 18 or below (please specify ) 18-21 22-25 26-29 30-33 34-37 38-41 42-45 65 or above (please specify )
Room Floor Block Building Estate Street Number Street Name District HK KLN N.T. Other Please select (Please specify the country) Postal Code Please enter your address Please enter the region Please enter the country
Contact Number Area Code – Phone no E-mail address
Where did you learn of "Plans for Family Health" competition? (You may choose more than one option) newspapers mall publicity estate publicity Club newsletter SHKP Club website SHKP Club Cherish Your Family Facebook SHKP Club Weibo SHKP website Email School (School Name: ) Others, please specify: