Yuen Long Youth Activities

Application For Membership

Members information (*Mandatory field which must be filled in)

Full Name *	* Mandatory field which must be filled in
Password (must contain at least 6 characters) * (can be any numbers/ words in English)	* Mandatory field which must be filled in * Last than six words * Your new and confirm password are different
Confirm Password *	* Mandatory field which must be filled in * Last than six words * Your new and confirm password are different
Date of Birth *(e.g. 1993-2-5)	Y: M: D: * Mandatory field which must be filled in * The applicant must be between 11 and 29
Sex *	Male Female * Mandatory field which must be filled in
Email *	* Mandatory field which must be filled in * Email Address in invalid format
Contact Tel No.(Mobile) * (8-digit number)	* Mandatory field which must be filled in
Contact Tel No.(Home) (8-digit number)	* Mandatory field which must be filled in
Living Area *	Yuen Long (Town) Yuen Long (Rural) Tin Shui Wai * Mandatory field which must be filled in
Occupation *	Working Student * Mandatory field which must be filled in
I understand that if I become a member of Yuen Long District Youth Fans Club, a unit under the Yuen Long District Youth Network Programme, I will automatically become a member of the Youth Network established under the Home and Youth Affairs Bureau (HYAB). The Youth Network offers a wide range of activities for members, including talent development training, exclusive guided tour, exchange opportunities, community building, volunteer work, and youth forum, etc. There is no membership fee for the Youth Network. Members will receive information about various youth development programmes from HYAB.
I am not interested in joining the HYAB’s Youth Network.
* I agree to abide by all rules and regulations of activity/activities laid down by this office.

Remark:

Remark: The information provided by you in this form will solely be used for contact purpose by Yuen Long District Office and relevant co-organisers of the activity. Request for correction of or access to personal data collected by means of this form should be addressed to this office at Room 306B, 3/F, Yuen Long District Office Building, 269 Castle Peak Road, Yuen Long, New Territories. For enquiries, please contact us on 3586 2959 or 6278 0053.