Fresh Membership Application

1

Verification

Fresh Membership Application

 

2

Personal Information Collection Statement

Purpose of Collection

  1. The personal data provided in the application will be used by the Hong Kong Police Force for one or more of the following purposes:-

     (a) to process membership application;
     (b) to process application for membership renewal;
     (c) to process declaration of lost membership card;
     (d) to process carpark label;
     (e) to process application for activities;
     (f) to process enrolment of recreational courses and activities;
     (g) for communication with members;
     (h) for any other legitimate purposes as may be required, authorised or permitted by law.

  2. The provision of personal data is voluntary. If you do not provide sufficient information, the Club may not be able to process your application.

Classes of Transferees

  1. The personal data you provided are mainly for use within the Hong Kong Police Force and may be disclosed to other units within the organisation for the purposes mentioned in paragraphs 1 and 2 above, if required. You also authorise POC/PSRC Management to collect your personal data from other units within the Hong Kong Police Force for the above-mentioned purposes.

Access to Personal Data

  1. You have the right to request access to and correction of your personal data as provided for in sections 18 and 22 and Principle 6 of Schedule 1 of the Personal Data (Privacy) Ordinance (Chapter 486).

Enquiries

  1. Enquiries concerning the personal data collected by means of this application, including the request for access and correction, should be addressed to Manager of POC or Manager of PSRC.

3

Select a Club

Select Club

Select Your Status

4

Principal Member

Application Information

* Mandatory fields

Personal Particulars (Principal Member)

Membership Related Information

Contact Information

Emergency Contact

Photo

Please upload a recent colour photo
Are you a registered user for using LCSD Fitness Rooms?
Attach with one softcopy of the below (only accept image file)

Application for Fresh Membership (Family Member)

New Membership Card Pick-up Location

5

Personal Particulars (Spouse)

* Mandatory fields

Personal Particulars of Spouse

Photo
Please upload a recent colour photo
Use of Fitness Room
Is your spouse a registered user for using LCSD Fitness Room?
Please upload relevant proof (e.g. Letter from LCSD / LCSD Fitness Room Monthly Ticket, etc)

6

Personal Particulars (Child)

* Mandatory fields
1

Child

2

Child

3

Child

4

Child

5

Child

6

Child

7

Child

8

Child

9

Child

10

Child

Personal Particulars of Child

Photo
Please upload a recent colour photo
Use of Fitness Room
Is your child a registered user for using LCSD Fitness Room?
Please upload relevant proof (e.g. Letter from LCSD / LCSD Fitness Room Monthly Ticket, etc)

Personal Particulars of Children

Photo
Please upload a recent colour photo
Use of Fitness Room
Is your child a registered user for using LCSD Fitness Room?
Please upload relevant proof (e.g. Letter from LCSD / LCSD Fitness Room Monthly Ticket, etc)

Personal Particulars of Children

Photo
Please upload a recent colour photo
Use of Fitness Room
Is your child a registered user for using LCSD Fitness Room?
Please upload relevant proof (e.g. Letter from LCSD / LCSD Fitness Room Monthly Ticket, etc)

Personal Particulars of Children

Photo
Please upload a recent colour photo
Use of Fitness Room
Is your child a registered user for using LCSD Fitness Room?
Please upload relevant proof (e.g. Letter from LCSD / LCSD Fitness Room Monthly Ticket, etc)

Personal Particulars of Children

Photo
Please upload a recent colour photo
Use of Fitness Room
Is your child a registered user for using LCSD Fitness Room?
Please upload relevant proof (e.g. Letter from LCSD / LCSD Fitness Room Monthly Ticket, etc)

Personal Particulars of Children

Photo
Please upload a recent colour photo
Use of Fitness Room
Is your child a registered user for using LCSD Fitness Room?
Please upload relevant proof (e.g. Letter from LCSD / LCSD Fitness Room Monthly Ticket, etc)

Personal Particulars of Children

Photo
Please upload a recent colour photo
Use of Fitness Room
Is your child a registered user for using LCSD Fitness Room?
Please upload relevant proof (e.g. Letter from LCSD / LCSD Fitness Room Monthly Ticket, etc)

Personal Particulars of Children

Photo
Please upload a recent colour photo
Use of Fitness Room
Is your child a registered user for using LCSD Fitness Room?
Please upload relevant proof (e.g. Letter from LCSD / LCSD Fitness Room Monthly Ticket, etc)

Personal Particulars of Children

Photo
Please upload a recent colour photo
Use of Fitness Room
Is your child a registered user for using LCSD Fitness Room?
Please upload relevant proof (e.g. Letter from LCSD / LCSD Fitness Room Monthly Ticket, etc)

7

Preview

Application Information

Personal Particulars (Principal Member)

Existing Membership Number:
English Surname:
English Given Name:
Chinese Surname:
Chinese Given Name:
Title:
Gender:
HKID Number:
Date of Birth:
UI Number:
Rank:
Date of Joining the Force:

Membership Related Information

MPS Point:
Selected Retirement Scheme Age:
Date of Struck-Off-Strength(SOS):
Spouse Membership No.

Contact Information

Mobile Number:
Office Telephone Number:
Residential Telephone Number:
Email Address:

Emergency Contact

Name:
Relationship:
Telephone Number:

Photo

Other Supporting Document

Usage of Fitness Room

Usage of Fitness Room:

New Membership Card Pick-up Location

Personal Particulars (Spouse)

Existing Membership Number:
English Surname:
English Given Name:
Chinese Surname:
Chinese Given Name:
Title:
Gender:
HKID Number:
Other ID No.
Date of Birth:
Mobile Number:
Email Address:
Photo:

Marriage Certificate

Other Supporting Document

Usage of Fitness Room

Usage of Fitness Room:

Personal Particulars (Child) 1

Existing Membership Number:
English Surname:
English Given Name:
Chinese Surname:
Chinese Given Name:
Title:
Gender:
HKID Number:
Other ID No.
Date of Birth:
Marital Status:
Mobile Number:
Email Address:
Photo:

Birth Certificate

Other Supporting Document

Usage of Fitness Room

Usage of Fitness Room:

Personal Particulars (Child) 2

Existing Membership Number:
English Surname:
English Given Name:
Chinese Surname:
Chinese Given Name:
Title:
Gender:
HKID Number:
Other ID No.
Date of Birth:
Marital Status:
Mobile Number:
Email Address:
Photo:

Birth Certificate

Other Supporting Document

Usage of Fitness Room

Usage of Fitness Room:

Personal Particulars (Child) 3

Existing Membership Number:
English Surname:
English Given Name:
Chinese Surname:
Chinese Given Name:
Title:
Gender:
HKID Number:
Other ID No.
Date of Birth:
Marital Status:
Mobile Number:
Email Address:
Photo:

Birth Certificate

Other Supporting Document

Usage of Fitness Room

Usage of Fitness Room:

Personal Particulars (Child) 4

Existing Membership Number:
English Surname:
English Given Name:
Chinese Surname:
Chinese Given Name:
Title:
Gender:
HKID Number:
Other ID No.
Date of Birth:
Marital Status:
Mobile Number:
Email Address:
Photo:

Birth Certificate

Other Supporting Document

Usage of Fitness Room

Usage of Fitness Room:

Personal Particulars (Child) 5

Existing Membership Number:
English Surname:
English Given Name:
Chinese Surname:
Chinese Given Name:
Title:
Gender:
HKID Number:
Other ID No.
Date of Birth:
Marital Status:
Mobile Number:
Email Address:
Photo:

Birth Certificate

Other Supporting Document

Usage of Fitness Room

Usage of Fitness Room:

Personal Particulars (Child) 6

Existing Membership Number:
English Surname:
English Given Name:
Chinese Surname:
Chinese Given Name:
Title:
Gender:
HKID Number:
Other ID No.
Date of Birth:
Marital Status:
Mobile Number:
Email Address:
Photo:

Birth Certificate

Other Supporting Document

Usage of Fitness Room

Usage of Fitness Room:

Personal Particulars (Child) 7

Existing Membership Number:
English Surname:
English Given Name:
Chinese Surname:
Chinese Given Name:
Title:
Gender:
HKID Number:
Other ID No.
Date of Birth:
Marital Status:
Mobile Number:
Email Address:
Photo:

Birth Certificate

Other Supporting Document

Usage of Fitness Room

Usage of Fitness Room:

Personal Particulars (Child) 8

Existing Membership Number:
English Surname:
English Given Name:
Chinese Surname:
Chinese Given Name:
Title:
Gender:
HKID Number:
Other ID No.
Date of Birth:
Marital Status:
Mobile Number:
Email Address:
Photo:

Birth Certificate

Other Supporting Document

Usage of Fitness Room

Usage of Fitness Room:

Personal Particulars (Child) 9

Existing Membership Number:
English Surname:
English Given Name:
Chinese Surname:
Chinese Given Name:
Title:
Gender:
HKID Number:
Other ID No.
Date of Birth:
Marital Status:
Mobile Number:
Email Address:
Photo:

Birth Certificate

Other Supporting Document

Usage of Fitness Room

Usage of Fitness Room:

8

Terms and Conditions

Please read the below terms and conditions:

If you agree the above terms and conditions, please tick the boxes.

9

Application Submission

The application of membership has been submitted, below are your application details.
Your Application Date:
Application Number: