申請人英文姓名 (Applicant's English Name) *

First Name

Last Name

比賽組別(Divisions) *

初中組 (中一至中三) Junior Secondary: Form 1 - Form 3

高中組 (中四至中六 ) Senior Secondary: Form 4 - Form 6

大專組 (2022/2023 學年的大學/大專院校學生) Tertiary Education: University /Tertiary Education students in the school year of 2022/2023

英文姓名 (English Name) *

First Name

Last Name

出生日期 (Date of Birth) *

MM

DD

YYYY

英文姓名 (English Name)

First Name

Last Name

出生日期 (Date of Birth)

MM

DD

YYYY

英文姓名 (English Name)

First Name

Last Name

出生日期 (Date of Birth)

MM

DD

YYYY

英文姓名 (English Name)

First Name

Last Name

出生日期 (Date of Birth)

MM

DD

YYYY

*本人謹代表隊員聲明上述資料正確無誤，以及對主辦機構公布的條例完全清楚及同意遵守。 *

I(Applicant Name), on behalf of the participating team, certify that all information given above is complete and accurate. We fully understand and agree to abide by the conditions of entry announced by the organizers.*

本參賽隊伍同意Hackaverse Challenge條款及細則. (詳細請瀏覽官網www.hkcita.com)

The participating teams agree to the terms and conditions of the Hackaverse Challenge. (For details, please visit the official website www.hkcita.com)

申請日期 (Application Date) *

MM

DD

YYYY