<p> QUEEN'S COLLEGE OLD BOYS' ASSOCIATION TUNG LO WAN ROAD, TAI HANG, HONG KONG TEL : 25772066 FAX : 25763113</p><p>Membership Application Form</p><p> Life Member  Ordinary Member  Preparatory Member </p><p>I ______would like to apply for the above membership of the Queen's College Old Boys' Association (“the Association”) and hereby attach *cash / cheque number ( ) as my subscription fee.</p><p>My application is being recommended by ______( ) ( If Any )</p><p>Section I (for Publication in the Membership Directory) Name in English: ______Name in Chinese: ______</p><p> Student From year ____/____ (at Form __ ) to year ___/___ (at Form __ ) House ______</p><p> Teaching staff From year ____/____ to year ____/____ Company: Position: ______E-mail address: Section II (for the Association’s Records Only) Home Address: Home Phone No.: _Mobile Phone No: Office Address: Office Phone No: Office Fax No.: </p><p>Qualification: </p><p>Job Classification: </p><p>I hereby declare that I shall abide by the Constitution and any rules of the Association. I * agree/disagree to publish and/or disclose the information contained in Section I above in the QCOBA Directory. </p><p>______Signature of Applicant Date</p><p>* Delete whichever is inapplicable</p><p>(Revised - 3/2014) To be completed by the Association</p><p>Application received on ______</p><p>Application  accepted  not accepted</p><p>Membership type  Life  Ordinary  Preparatory </p><p>Membership No. ______</p><p>______Signature of Manager Date</p><p>Categories of membership</p><p>Life Membership and Ordinary Membership shall be open to – (i) any Old Boy; and (ii) any past and present member of the teaching staff of the Queen’s College.</p><p>Preparatory Membership shall be open to any present student of the Queen’s College.</p><p>Subscription fee </p><p>( a ) Life Membership : HK$1,000; or HK$500 in the case of an application from an Old Boy made within one year from the date he has ceased to be a student of Queen’s College. For the avoidance of doubt, the fee payable hereunder is not refundable in any event either in whole or in part once it is paid and a life membership is issued.</p><p>( b ) Ordinary Membership : HK$100 for a relevant year</p><p>( c ) Preparatory Membership : HK$50 for the relevant period</p><p>(Revised - 3/2014)</p>