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1.
Name in Chinese (if applicable)
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2. Sex
Male/Female
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3.
English Name (Surname First)
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4.
Age
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5.
Date of Birth
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6.
Nationality
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7.
Hong Kong I/D Card No /Passport No.
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8.Type of Membership Applied For
Ordinary
/ Youth / Life
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9.
Address in Chinese (if applicable)
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10.
Address in English
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11.
Postal Address (if different form tem 9 or 10 )
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12. Telephone Number Office: __________________ Home:
_________________ Mobile: _________________
E-mail:
________________________________________________________________________________
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13.
Name of Organization / School and Address
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14.
Job Position
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15.
Philatelic Interest
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China
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Hong
Kong
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Taiwan
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U.K.
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British
Commonwealth
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U.S.A.
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Japan
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Europe
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Others (Please
specify)
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Covers
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____________
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Stamps
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____________
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Thematic: (Please
specify):__________________________________________________________________________________
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Postmarks: (Please specify):
__________________________________________________________________
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Postal History: (Please specify):
________________________________________________________________
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16.
Past member of CPA ?
Yes / No
(Year
of joining:_________________________ Membership
Number:________________________________ )
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Name
and Membership Number of Referring Member ( if any )
Name:
_________________________
Membership No._________________
Signed by Referring Member
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I hereby apply to become member of China
Philatelic Association and undertake to be abide by the
Association’s Memorandum of Association
Signed by the
Applicant
Date:
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