THE HONG KONG FEDERATION OF YOUTH GROUPS BUILDING
香港青年協會大廈會議設施租用申請表
此欄由本會填寫 (For Official Use Only)
Received Date:

Application for Hiring of Meeting Facilities atThe Hong Kong Federation of Youth Groups Building

Serial No:

申請機構詳情 / Details of Organisation
如屬首次租用者，請連同有效之商業登記證或副本交回 / If this is the first application, please attach a copy of the Business Registration
機構登記名稱 Name of Registered Organisation:
機構性質 Business Nature:
申請人姓名 (中文)︰Name of Applicant (In English):

申請人職位／部門 Position/Department of Applicant:
聯絡電話 Contact No.:傳真號碼 Fax No.:通訊地址 Correspondence Address:

電郵地址 Email Address:
當日負責人姓名及聯絡電話 Name of in-charge person and contact number on event date:

申請租用地點 / Booking Venue
所有申請以先到先得方式處理。Bookings are made on a first-come-first-served basis.
設施開放時間為早上九時至晚上十時 (演講廳為早上九時三十分至晚上十時 )。現申請租用場地如下：﹝請於適當位置填上 號﹞Opening hours for the facilities: 09:00 - 22:00 (Auditorium 09:30 - 22:00). Meeting Venue(s) is/are requested as follows: (Please  as appropriate)□ 演講廳 Auditorium□ 演講室 Theatre (7/F)□ 多功能廳 I Multi-function Hall I (25/F)□ 多功能廳 II Multi-function Hall II (8/F)□ 董事會議室 Board Room

□ 會議室 801 Meeting Room 801□ 會議室 Meeting Rooms 1001/1002/1003
地點
租用日期
租用時間
Venue
Event DateEvent Time□ 會議室 Meeting Rooms 1902/1903/1904/1905
參加人數*儀器租用 *技術人員協助*茶點服務
No. of Participants Equipment
TechnicalRefreshment
Required Support ServiceService

活動名稱
Nameof the Function

Yes / NoYes / NoYes / NoYes / NoYes / NoYes / NoYes / NoYes / NoYes / NoYes / NoYes / NoYes / No* * 如需要，請填寫「影音器材及餐飲服務申請表」。 If yes, please submit the ‘Application for Provision of AV System, Equipment and Catering Services’.

是否須要開放7樓玻璃門供進場及散場人士使用。是/否To open the door on the 7/F for entering and exiting the venue. Yes/No
有關使用會議設施的守則，請參閱香港青年協會大廈場地及設備租用條
款。
請將填妥之申請表格傳真至3755-7155; 電郵至bm@hkfyg.org.hk; 或郵寄至北角百福道21號香港青年協會大廈21樓青協大廈管理組。
如有任何查詢，請致電3755-7098 或 3755-7188 或 3755-7189與大廈管理組聯絡。
Please refer to “HKFYG Building Regulations of Hire” for the booking rules.
Please fax your application form(s) to 3755-7155; email tobm@hkfyg.org.hk; or mail to BMU, 21/F, HKFYG Building, 21 Pak Fuk Road,
North Point, H.K.
Please contact BMU at 3755-7098 / 3755-7188/ 3755-7189 for enquiries.

HKFYG/BMU 專用 For Official Use Only_______________________________________________________________

姓名及簽署 (公司印章)
Name & Signature (with Official Chop)
日期
Date:_____________________________________________________

參考編號 Serial No. ___________________________________

致 To: ______________________________________________________________________________________________________________貴會上述之申請已被接納 / 不被接納，詳細情況如下 : The above booking application is / is not approved. Details are as follows:_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Deposit of HK$ ______________________ (Cheque No. ___________________ ) from your organisation was received on _______________________________

經手職員 Handled by : __________________________________

批核職員 Certified by: _______________________________________

日期 Date: ____________________________________________公司蓋印 Chop: ____________________________________________(April 2023)