HONG KONG ADVENTIST COLLEGE HONG KONG ADVENTIST ACADEMY 1111 Clear Water Bay Road, Sai Kung, New Territories. Hong Kong Phone: (852) 2719-1667   Fax: (852) 2358-1055 www.hongkongsda.org, ke@hongkongsda.org

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General:

Family Name:	Given Name :
Chinese Name (if applicable):

Grade:

s4 (10)

s5 (11)

s6 (12)

Sex:

Male

Female

Date of Birth:

Day: select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

Month: select January February March April May June July August September October November December

Year: select 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998

Place of Birth:

Religion:

HKID/Passport Number:

Citizenship:

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Contact Infomation:

Mailing Adress:

Phone:	Mobile:
Email:

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Education:

Last Elementary School:

Country:

Completion Date:

Last Secondary School:

Country:

Last Date Attended:

TOEFL / IELTS Score:
(Please submit a certifiedcopy of test results taken within the last two years)

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Family Information:

Parent / Guardian's Name:

Relationship to Applicant:

MailingAdress:

Phone:	Moblile:
Email:

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Residence:
Where will you be living while attending HKAC?

Dormitory

Parent/Guardian

Other:

If staying in dormitory, please fill out Dormitory Residence Application

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Date You Plan to Enter:
Please Specify the term and school year you are seeking admission to Hong Kong Adventist College:

First Term

Second Term

School Year:

2007-2008

2008-2009

2009-2010

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Introduction to School:
How did you come to know about our school? (Check all appropriate boxes)

Hock Yau Club Promotional Magazine	HKAA Promotion at my school
Friends or Family Members	HKAA Brochures or Posters
HKAC Website (www.hkac.edu)	Other (please specify)
This Website

If a friend who is a current student at HKAC/HKAA introduced the program to you, please provide his or her name:

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Acceptance:

To the best of my knowledge, the above information is complete and correct. If accepted, I agree to abide by the regulations of the institution as published in its Bulletin and Handbook or as announced. I recognize that failure to abide by these regulations is grounds for dismissal.