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Registration for JC Support for Young People with Diabetes 登記申請賽馬會年輕糖尿支援計劃
JC Support for Young People with Diabetes
賽馬會年輕糖尿支援計劃
Online Registration 網上登記
Name 姓名
*
Name 姓名
Surname 姓氏
Surname 姓氏
First name 名字
First name 名字
Date of Birth 出生日期
*
Type of Diabetes 糖尿病類型
*
Type 1 一型
Type 2 二型
Other 其他
Other 其他
Phone no. 聯絡電話
*
Email 電郵
*
Do you hold a Hong Kong Permanent Resident or Hong Kong Resident identity card? 閣下是否持有香港永久居民或香港居民身份證?
Yes, I am a Hong Kong Permanent Resident identity card holder 是的,本人持有香港永久居民身份證
Yes, I am a Hong Kong Resident identity card holder 是的,本人持有香港居民身份證
No, I don't have either of the identity cards 否,本人並不持有以上任何一種身份證
If you are human, leave this field blank.
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