The document is a membership application form for The Japan Society of Hong Kong. It requests information such as the applicant's name, date of birth, identification number, nationality, occupation, address, contact details, education level, other organization memberships, spouse's name and details (if applying for a couple membership), interests in various Japanese and Asian topics, preferred language for lectures, signature and date. It also requests how the applicant would like to receive correspondence and provides contact details to submit the completed application form.

1. THE JAPAN SOCIETY OF HONG KONG
MEMBERSHIPAPPLICATION FORM
Please complete using BLOCK LETTERS> In order to expedite your application, please complete in full.
Please select one of the following:
INDIVIDUAL MEMBER COUPLE MEMBER CORPORATE MEMBER
Please complete in English for data input:
Name: Mr/Mrs/Miss *_______________________________ Chinese Character: ____________________________________
Date of Birth: _________________ I.D. /Passport No. *____________________ Nationality: ___________________________________
Name of Company/Organization: _____________________________________________________________________________________
Nature of Business/Occupation: ______________________________________________________________________________________
Position: _________________________________________________________________________________________________________
Address: _________________________________________________________________________________________________________
______________________________________________ Tel: ___________________________ Fax: ____________________________
Residential Address: ________________________________________________________________________________________________
_______________________________________________ Tel: __________________________ Fax: ____________________________
E-mail Address: _______________________________________ Pager/Mobile Phone: __________________________________________
Education: University or above Post Secondary Secondary Others
Membership in Other Organizations: 1. _________________________________ 2. _____________________________________
3. _________________________________ 4. _____________________________________
Please complete if applying for COUPLE MEMBER:
Name of spouse: Mrs/Mr *______________________________________ Chinese Character: ____________________________________
Date of birth: _________________________________________________ Nationality: _________________________________________
Your special interests in:
Arts in General Architecture Business/Industry/Economy Others: _________________
Literature Flower Arrangement Science & Technology _________________
Drama/Cinema Sports/Pastimes Travel _________________
Music History Japanese Language _________________
Painting/Calligraphy Education Life in Japan _________________
Language preferred (for lectures): English Japanese Chinese
______________________________________________ ______________________________________ ____________________
Signature of Application (Company Stamp, if applicable) Signature of Spouse (if applicable) Date of application
Please send correspondence to: Home Address Office Address E-mail Address
Reference Person (if available): _________________________________________
Name Tel. No.
________________________________________
Name Tel. No.
Please submit your application form to:
Secretary-General, The Japan Society of Hong Kong, 2/F, Fung House, 19-20 Connaught Road C, Central, Hong Kong.

2. * Delete as appropriate