HKU SPACE Community College Students’ Union 香港大學附屬學院學生會 OIr Ref. No.: OIr 10/11___________ Received Date: ______________ Report for Activities involve Outside Institution/Organization Particulars of Applicant: Name of Society: Applicant Name: SID: Position: Contact no.: E-mail: nd 2 contact person: Position: Contact no.: E-mail: General information for the event: Name of the Activity: Date & Time Venue: Nature: Main organizer: Co-organizer (if any): Status of the Society in the Activities : Organizer Participate only Co-organizer Sales and Promotion only Post in the Society: Activity-in-Charge: Target group : Society Members All College Students Others (please specify):__________________________________________ No. of participants: ________ Society Members ________ Non-society Members (College Students): ________ Others Total no. of Participants:______________ Charge: Free of Charge Society members $________ per head Non- society members $________ per head Guests: CCSU Office Address: 3 / F, 28 Wang Hoi Road, Kowloon Bay, Kowloon Tel / Fax: 3762 2105 / 2305 5262 E-mail : [email protected] Website: http://www.hkuspaceccsu.com (Oct 2010) HKU SPACE Community College Students’ Union 香港大學附屬學院學生會 Alternative Funding Sources: No Yes (please fill in the following information) Name of sponsor Nature of the sponsorship Cash ( $_________) In kind (please specify_____________), Qty:_________ Cash ( $____________) In kind (please specify_____________), Qty:_________ Cash ( $____________) In kind (please specify_____________), Qty:_________ Brief Description about the Activity: (use separated paper as necessary) Work Allocation of Each Participated Party(ies): Comments and Suggestions: Remarks CCSU Office Address: 3 / F, 28 Wang Hoi Road, Kowloon Bay, Kowloon Tel / Fax: 3762 2105 / 2305 5262 E-mail : [email protected] Website: http://www.hkuspaceccsu.com (Oct 2010) HKU SPACE Community College Students’ Union 香港大學附屬學院學生會 Financial Report Income Items Description Amount ($) Remarks Amount ($) Remarks Sub total: Expenditure Items Description Sub total: Total Surplus / -Deficit: $______________ The financial arrangement of different parties: CCSU Office Address: 3 / F, 28 Wang Hoi Road, Kowloon Bay, Kowloon Tel / Fax: 3762 2105 / 2305 5262 E-mail : [email protected] Website: http://www.hkuspaceccsu.com (Oct 2010) HKU SPACE Community College Students’ Union 香港大學附屬學院學生會 Declaration: I confirm that the information provided is accurate. Submitted by the Activity-in-charge: ( Date:_____________ SID: Date:_____________ ) Approved by Society President:: ( SID: ) Society Chop: For Society Advisor: I am well informed of the above activity and its financial arrangment. Other comments: ________________________________________________________________________________ ______________________________________________________________________________________________ Approved by Society Advisor: ( ) Date: For CCSU Noted by the relevant Activities Secretary: Noted by the External Vice President: ( Date: ) ( ) Date: Remarks: CCSU Office Address: 3 / F, 28 Wang Hoi Road, Kowloon Bay, Kowloon Tel / Fax: 3762 2105 / 2305 5262 E-mail : [email protected] Website: http://www.hkuspaceccsu.com (Oct 2010)
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