1964_EDUCATION_REGULATIONS — Page 101

A 38

[Subsidiary]

CAP. 279]

Education Regulations

[1986 Ed.

FORM 4

EDUCATION ORDINANCE

(Chapter 279)

APPLICATION FOR APPROVAL TO BE A MANAGER

Signed full face photograph of applicant to be affixed here

Address for correspondence

Telephone Number

Date

(s. 23.)

The Director of Education,

Education Department,

Hong Kong.

1. I forward the following particulars of myself and request you to approve me to be a manager.

2.

Particulars-

(a) Name (Mr./Mrs./Miss):

(in English)

(in Chinese)

(b) Aliases

(c) Residential Address

(d) Identity Card Number

(e) Date of birth

(f) Place of birth

(g) Particulars of education

(h) Experience in or knowledge of educational matters

See NOTE 1.

See NOTE 2.

(i) Occupation

(j) Other relevant information

3. I affix above a signed full face photograph of myself and attach 2 signed copies of such photograph to this application.

4.

The following persons who are/are not aware of the statements made on this form may be referred to as regards my character and suitability to be a manager-

(a) Name (Mr./Mrs./Miss)

Address

Occupation

(b) Name (Mr./Mrs./Miss)

Address

Occupation