SFCC Past Students’ Association Life Membership Application Form
Name in English : ___________________________ Profession : _______________________
Name in Chinese : _______________________ Graduation Year : F.7_____ F.6 _____ F.5 _____
Address : ____________________________________________________________________
____________________________________________________________________________
Home Tel :_________________ Mobile No. :________________ Office Tel : ________________
Fax No : ___________________ Email : ____________________________________________
Now I pay :
HK$500 being subscription fee for SFCC PSA Life Membership and/or
HK$___________ being donation to SFCC PSA for any purpose as determined
appropriate by the PSA .
Total : HK$ ____________ paid by
I would like to help PSA in
CASH
or
CHEQUE no.______________
organizing activities
publishing newsletter
maintaining webpage
any other volunteer work
Date : ____________________________
Signature : _____________________________
Membership Application Procedure
1. Please complete the Membership Application Form and send it to SFCC PSA c/o St. Francis’
Canossian College, 9-13 Kennedy Road, Wanchai, Hong Kong in person or by mail.
2. For payment made by cheque, please mark your cheque payable to “St. Francis’ Canossian
College Past Students’ Association”.
For Official Use Only
 The Membership Application is Confirmed / Not Confirmed.
 Approved by ex-co member : (signature) _____________________
( date ) _____________________