Alumni Contact Update Form

SurnameMissing or incorrect valueE.g. CHAN

Given NameMissing or incorrect valueE.g. TAI MAN, GEORGE

HKID No. (For alumni identification purposes)Missing or incorrect valuePlease input the first four digits, e.g. A123.

HKU Student No.

Programme (Please specify your Degree)Missing or incorrect value

You may only fill in the information you wish to update in below.

EmailE.g. example@exmaple.com

Mobile/PagerOnly allow numbers and +. ( and ) symbols

Fax No.Only allow numbers and +. ( and ) symbols

Home Address Line 1

Home Address Line 2

Home Address Line 3

Home Tel. No.Only allow numbers and +. ( and ) symbols

Office Address Line 1

Office Address Line 2

Office Address Line 3

Office Tel. No.Only allow numbers and +. ( and ) symbols

Do you wish to receive the e-copy of the newsletter (Medical Faculty News)?

Personal Information Collection
Li Ka Shing Faculty of Medicine treats the data provided by you as strictly confidential. The data will only be used for administration and communication purposes conducted by the Faculty and the University, e.g. newsletters, activities, giving initiatives, courses and programmes of the Faculty and the University. We will not disclose any personal information to external bodies unless we have obtained your approval or as required by law. If you do not wish to receive emails from the Faculty in future, please let us know at medfac@hku.hk.

Alumni Contact Update Form

Personal Information

Information to Update

Personal Information Collection Statement

Submission