个人会籍申请表

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1、个 人 会 籍 申 请 表个人资料PEOPLE INFORMATION先生 太太 女士 小姐Mr. Mrs. Ms. Mss.英文姓名 中文姓名Name in English: Name in Chinese:出生日期 婚姻状况 未婚 已婚Date Of Birth: / / Marital Status: Single Married 日Date 月Month 年Year国籍 护照/身份证号码Nationality: Passport/I.D.NO.:住宅地址Residential Address:住宅电话 住宅传真 传呼机/移动电话 Telephone No: Facsimile No:

2、Pager/Mobile Phone: 企业名称 业务性质Name of Company: Type Of Business:企业地址Company Address:职衔 企业电话 企业传真Position: Telephone: Facsimile No.:请将每月帐单、俱乐部刊物、印刷资料及通讯寄往：（请在方格内加）1prefer my monthly statement newsletters and correspondence to be mailed to :(please the appropriate one 企业地址 住宅地址 通讯地址Company Address: Res

3、idential Address Correspondence Address As Below 通讯地址Correspondence Address:持有会籍之其他会所Membership of other Club(s) currently hold:高尔夫经验 有 高夫差点 出证球会 无Golf Experience Yes Handicap: Issued By: No配偶资料POUSES INFORMATION英文姓名 中文姓名Name in English: Name in Chinese:出生日期 国籍 护照/身份证号码Date Of Birth: / / Nationality

4、: Passport/I.D.NO.: 日Date 月Month 年Year 企业名称 业务性质Name of Company: Type Of Business: 企业地址Company Address:职衔 企业电话 企业传真Position: Telephone.: Facsimile No.:子女资料HILDRENS INFORMATION18岁如下子女可申请附属会员证Children under the age of 18 are qualified to apply for iunior membership cards 中文姓名 英文姓名 出生日期 性别Name in Engli

5、sh: Name in Chinese: Date Of Birth: Sex1、 / / 日Date 月Month 年Year2、 / /3、 / /4、 / /付款方式AYMENT SCHEDULE本人选择如下旳付款方式：（请在方格内加）I prefer the following payment schedule(pleasethe appropriate one)一次付款 6月分期付款 12 月分期付款 Full Payment 6Months Instalment Plan 12Months Instalment Plan 本人现付上现金/支票（号码： ）港币 元作为个人会籍申请之所

6、有/首期付款，本人並同意如 贵球不接受此项申请，则将此款之全数无利息退还，而 贵球会将不须再负任责任。若本人选择分期付款而未能按期缴费，逾期60天后，会籍申请将属无效，本人同意 贵球会将不须退还本人任何已缴付之款项。本人並同意贵球会订定之供款利率及汇率，同步接受贵会有权对该项利率或汇率按市场状况作出对应之调整。本人承认及同意当是项申请获接受后，将遵守东莞峰景高尔夫球会所订定並不时修改之会章及规例。I attach herewith cash /cheque (No. ) of HK$ being the full/initial payment in respect of my applica

7、tion for Individual Membership of Dongguan Hillview Golf Club(DHGC).I understand and agree that should my application be refused, DHGC will refund to me the aforesaid payment without interest .I hereby acknowledge and agree that such refund by DHGC shall be a full and final discharge of the Club in

8、relation to my application.If the instalment payment is in default for 60 days, this application shall be absolutely void and any payment by the applicant to DHGC will be forfeited.I hereby also agree that the instalment interest rate and the currency exchange rate shall be determined by the Club, a

9、nd accept that the Club shall have the right to adjust the above mentioned rates from time to time according to market situation.I hereby acknowledge and agree that on acceptance of my application, I shall be bound by the rules, by-laws & other regulations of DHGC as shall be determined, raised or a

10、mended by the Club from time to time. 申请人签名 日期Applicants Signature Date 申请表格提交方式UBMISSION OF APPLICATION FORM 请连同已填妥及签名之会籍申请表附交如下文献Please submit completed and signed application form with the following:1、 籍申请表Membership Card(s) Application Form2、 会员卡持有人3张护摄影片Three passport size photos for membership

11、 Card holder 3、 会员卡持有人之身份证/护照影印本Photocopy of ID Card(s)/Passport(s) of Membership Card holder球会专用FOR OFFICE USE OMLY 收到日期 会籍类别Date Received: Membership Type:时序编号 会员编号Chorine NO.: Membership NO.:核准委员会 会籍证书编号Acceptance Committee Membership Cert.No.:备注Remarks:东莞峰景高尔夫球会DONGGUAN HILLVIEW GOLF CLUB 中国广东省东莞市附城区迎宾馆大道 邮政编码：511700Ying Bin Da Dao, Fucheng District, Dongguan 511700,Guangdong, PR. China电话Tel:0769-220 9998/229 8968图文传真Fax:0769-225 9998香港夏悫道16号远东金融中心1502室Rm,1502 Far East Finance Centre, 16 Harcourt Road,Hong Kong 电话Tel:2527 3613图文传真Fax:2866 9082