HONG KONG MODEL UNITED NATIONS CLUB Room 812-813, Youth Square, 238 Chai Wan Road, Chai Wan, Hong Kong Tel: (852) 3172 2232 Fax: (852) 3172 2231 E-mail: [email protected]Dear Students, Invitation to the Hong Kong Model United Nations Conference 2012 On behalf of the Hong Kong Model United Nations Club, we sincerely invite you to join the upcoming Hong Kong Model United Nations Conference 2012 (HKMUNC2012), which will be held in February 2012. Established in 2005, HKMUNC aims at promoting MUN culture in the region, promoting world peace through understanding and cooperation between cultures and arousing youth attention on global issues. In an MUN conference, participants will act as diplomats representing a nation to debate on worldwide issues. Details of the conference are as follows: Date: 9 to 12 February, 2012 Venue: Y-square, Chai Wan Registration fee per person: HKD 950 (excludes accommodation) or HKD 2,150 (includes accommodation) Website: www.hkmunc.org.hk Application Deadline: 23 December, 2011 This is our 8 th time to hold the same conference. Over the past conferences, the participants enjoyed to be in a stimulation of debate and discussion in the United Nations. That is because they had the opportunity to meet delegates from all over around the globe, sit together and discuss world affairs. We are looking forward to receiving your application. With your participation, we are definitely having a high-quality level of discussion and debate in HKMUNC 2012. Should you have any enquiries, please feel free to contact us at (852)-3172 2231 or email to [email protected]. Yours sincerely, Heiki Tsang President (Session 2011-2012) Hong Kong Model United Nations Club Tel: (852) 3172-2231 Fax: (852) 3172-2232 Email: [email protected]Website: www.hkmunc.org.hk
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HONG KONG MODEL UNITED NATIONS CLUB
Room 812-813, Youth Square, 238 Chai Wan Road, Chai Wan, Hong Kong
Please read through the application guidelines before filling this form.
Use separate sheet(s) if necessary.
Delegates Information
Delegate Type: Please the appropriate box(s). □ Local (Local delegate includes Hong Kong local students and non-local students who are currently studying in HK.)
(Registration package: □ HKD 950, without accommodation or □HKD 2,150, with 3-days accommodation)
□ Non- Local (Registration package:HKD 2,150, with 3-days accommodation) *All non-local delegates have to stay in the hotel we provided.
A. Personal Particulars
Name in Passport / HKID: (English)
Given Name:
Surname:
中文全名:
Date of Birth (DD/MM/YY): Gender:
Nationality: Place of birth:
Residential Address:
E-mail Address:
Telephone no. : (residential) (mobile)
HKID No./ Passport No:
Country of issue: Valid Until
(DD/MM/YY):
University / College:
Form / Year:
HONG KONG MODEL UNITED NATIONS CLUB
Room 812-813, Youth Square, 238 Chai Wan Road, Chai Wan, Hong Kong
HKMUNC 2012_Individual Delegation Application Form p.2
B. Health Conditions (If any) All information provided here will be kept in the strictest confidence, and will solely be used for medical-related purposes only.
1. Do you have a history of any of the following sicknesses? (Select as appropriate)
Epilepsy □
Level of severity:
Regular medication:
Fits □
Level of severity:
Regular medication:
Blackouts □
Level of severity:
Regular medication:
Acute respiratory conditions □
Level of severity:
Regular medication:
Asthma □
Level of severity:
Regular medication:
Cardiac illnesses □
Level of severity:
Regular medication:
Food allergies □
Type(s) of food:
Level of severity:
Regular medication:
Others □
Level of severity:
Regular medication:
2. Specification of food
(e.g. Vegetarian diet or food you do not consume due to religious reason)
*Put N/A if it is not applicable
Please specify:
HONG KONG MODEL UNITED NATIONS CLUB
Room 812-813, Youth Square, 238 Chai Wan Road, Chai Wan, Hong Kong
Please read through the registration guidelines before filling this form.
Use separate sheet(s) if necessary.
Delegates Information
Delegate Type: Please the appropriate box(s). □ Local (Local delegate includes Hong Kong local students and non-local students who are currently studying in HK.)
(Registration package: □ HKD 950, without accommodation or □HKD 2,150, with 3-days accommodation)
□ Non- Local (Registration package:HKD 2,150, with 3-days accommodation) *All non-local delegates have to stay in the hotel we provided.
i. Each team consists of 2-6 delegates.
ii. In each team, at most 2 delegates can be in the same committee, while SC only accepts 5 single delegations.
Delegates in the same committee will represent the same country.
iii. Delegates in the same team do not mean that they will represent the same country in different committees.
Team Details
School / Team Name
Head Delegate Full Name
E-mail Address
Confirm E-mail
Mobile
Delegate Delegate Full Name Head Delegate Delegate 2 Delegate 3 Delegate 4 Delegate 5 Delegate 6
Faculty Advisor (if any)
Full Name in passport / ID (Eng):
Gender: Mobile no:
Email address:
HONG KONG MODEL UNITED NATIONS CLUB
Room 812-813, Youth Square, 238 Chai Wan Road, Chai Wan, Hong Kong
B. Health Conditions (If any) All information provided here will be kept in the strictest confidence, and will solely be used for medical-related purposes only.
1. Do you have a history of any of the following sicknesses? (Select as appropriate)
Epilepsy □
Level of severity:
Regular medication:
Fits □
Level of severity:
Regular medication:
Blackouts □
Level of severity:
Regular medication:
Acute respiratory conditions □
Level of severity:
HONG KONG MODEL UNITED NATIONS CLUB
Room 812-813, Youth Square, 238 Chai Wan Road, Chai Wan, Hong Kong
B. Health Conditions (If any) All information provided here will be kept in the strictest confidence, and will solely be used for medical-related purposes only.
2. Do you have a history of any of the following sicknesses? (Select as appropriate)
Epilepsy □
Level of severity:
Regular medication:
Fits □
Level of severity:
Regular medication:
Blackouts □
Level of severity:
Regular medication:
Acute respiratory conditions □
Level of severity:
HONG KONG MODEL UNITED NATIONS CLUB
Room 812-813, Youth Square, 238 Chai Wan Road, Chai Wan, Hong Kong
B. Health Conditions (If any) All information provided here will be kept in the strictest confidence, and will solely be used for medical-related purposes only.
3. Do you have a history of any of the following sicknesses? (Select as appropriate)
Epilepsy □
Level of severity:
Regular medication:
Fits □
Level of severity:
Regular medication:
Blackouts □
Level of severity:
Regular medication:
Acute respiratory conditions □
Level of severity:
HONG KONG MODEL UNITED NATIONS CLUB
Room 812-813, Youth Square, 238 Chai Wan Road, Chai Wan, Hong Kong
B. Health Conditions (If any) All information provided here will be kept in the strictest confidence, and will solely be used for medical-related purposes only.
4. Do you have a history of any of the following sicknesses? (Select as appropriate)
Epilepsy □
Level of severity:
Regular medication:
Fits □
Level of severity:
Regular medication:
Blackouts □
Level of severity:
Regular medication:
Acute respiratory conditions □
Level of severity:
HONG KONG MODEL UNITED NATIONS CLUB
Room 812-813, Youth Square, 238 Chai Wan Road, Chai Wan, Hong Kong
B. Health Conditions (If any) All information provided here will be kept in the strictest confidence, and will solely be used for medical-related purposes only.
5. Do you have a history of any of the following sicknesses? (Select as appropriate)
Epilepsy □
Level of severity:
Regular medication:
Fits □
Level of severity:
Regular medication:
Blackouts □
Level of severity:
Regular medication:
Acute respiratory conditions □
Level of severity:
HONG KONG MODEL UNITED NATIONS CLUB
Room 812-813, Youth Square, 238 Chai Wan Road, Chai Wan, Hong Kong
B. Health Conditions (If any) All information provided here will be kept in the strictest confidence, and will solely be used for medical-related purposes only.
6. Do you have a history of any of the following sicknesses? (Select as appropriate)
Epilepsy □
Level of severity:
Regular medication:
Fits □
Level of severity:
Regular medication:
Blackouts □
Level of severity:
Regular medication:
Acute respiratory conditions □
Level of severity:
HONG KONG MODEL UNITED NATIONS CLUB
Room 812-813, Youth Square, 238 Chai Wan Road, Chai Wan, Hong Kong