Online application form | Senior Common Room

Become a member of Senior Common Room

Membership Application Form

Title

First name

Position Held at HKU

Last name

Staff Number

Department

Email Address

Faculty

Date of birth

Office Number

Office Address

Mobile Number

Correspondence Address

Please select your membership category:

Ordinar Member:

Full time staff at TOS1 / Band G-J / Wardens of Residential Halls and Colleges

HK$ 132 / month

Joint Member:

Ordinary Member joining with spous

HK$ 200 / month

Associate Member:

ineligible for Ordinary membership but directly associated with the University

(e.g. visiting scholars, members of the Court and the Council of the university)

HK$ 132 / month

Senior Retired Member:

For pre-existing Ordinary members only

HK$ 40 / month

Affiliate Member*:

Ineligible for Ordinary and Associate membership but has sufficient connection with the University

HK$ 132 / month

(Existing SCR Ordinary Member)

Signature of Proposer

*Visiting hours for Affiliate Member - Monday to Friday after 15:00, weekend and public holiday

Please fillin the below if you are applying for Joint membershi pfor your spouse (Applicable to Ordinary members only):

First name

Email Address

Last name

Mobile Number

Declaration, Terms and Conditions (please tick the)

I hereby apply for the membership of the Senior Common Room (SCR). I agree to be bound by and comply with the constitution and bye-law of the SCR. I understand that membership fees will be charged on a yearly basis and termination is not applicable within the first month’s subscription. I will give at least one-month written notice in writing of my intention to terminate my membership. I understand that the personal data provided in this form will be used internally for the SCR membership database and marketing purposes only. I undertake to pay the SCR promptly upon receipt of a payment notice via the university’s Online Payment System (OPS) or any other payment method with my email provided above on a pro-rata basis. Application forms will be subject to Executive Committee approval.

I have read an agree the above declaration, terms and conditions

Your Signature

Date

Thank you for your application.