JOIN 申請登記
Join our "Lower LDL Scheme" 即時申請參加降醇計劃
CONTACT INFORMATION 聯絡我們
Name 姓名
Age 年齢
Date of Birth 出生日期
Sex 性別
Occupation 職業
Smoking? (Y/N) 吸煙 (是/否)
High Cholesterol? (Y/N) 高膽固膽 (是/否,然後度數)
Diabetes? (Y/N) 糖尿病(是/否,然後度數)
Cardiovascular Diseases? (Y/N) 心血管病(是/否)
Kidney disease? (Y/N) 腎病 (是/否)
Liver disease? (Y/N) 肝病(是/否)
Families have any of the above diseases? (Y/N) 家族病史(是/否)
Contact Tel 聯絡電話
Email 電郵
Application Date 申請日期 (DD/MM/YYYY)
Mailing Address 郵寄地址
High Blood Pressure? (Y/N) 高血壓? (是/否,然後度數)
Height 身高
Weight 體重
HKID No. 身份証號碼 (First 4 digits 首4個字)
Agree & submit
同意及提交
   
Disclaimer 免責聲明

The personal data collected will be used for the initial evaluation of your eligibility for the Programme run by Hong Kong Association of Ageing (HKAOA) and FoodMedicineLab for the cholesterol test if eligible.

By completing and submitting the registration form,

you agree that the terms & condition of the test.  The cholesterol test is subject to availability and is not guaranteed.

You understand and agree that HKAOA and FoodMedicineLab will contact you via the contact details submitted to arrange and confirm the test arrangement and the personal data collected will be transferred to designated third party service provider(s) for the purpose of maintaining the registration process.

You discharge and waive HKAOA and FoodMedicineLab and their related supporters from any liability arising from or in connection with your provision of personal data and any unsuccessful registration of the Programme.

這次降醇計劃及膽固醇測試(下稱「測試」)是由香港老年保健協會(下稱「協會」)透過有機愈膳房(下稱「中心」)提供,收集的個人資料將會用作初步評核閣下的申請資格,以及為合資格人士登記測試之用。
填妥及遞交這份登記表格後,表示閣下同意成功登記與否需視乎實際申請人數而定,協會並不保證閣下必定成功登記。
同時,閣下亦明白及同意中心會按照所填寫的資料與閣下聯絡,安排及確認測試,並明白及同意閣下的個人資料將交由協會選定的服務供應商,負責處理整個活動的登記及結果公告發佈詳情。


閣下同意豁免及放棄追究香港老年保健協會丶中心及其贊助或支持機構及服務供應商,因閣下就測試提供的個人資料或相關事宜,以及若未能成功登記的所有責任。

For further details regarding our handling of personal data, please click here for Privacy Policy Statement and Disclaimer.


有關我們處理個人資料的更多詳情,請按此參閱私隱政策及免責聲明。


Terms and Conditions 條款及細則

• The Cholesterol Test and Lower Cholesterol Plan is not transferable and cannot be exchanged for cash or other medical services.
膽固醇測試不可轉讓予其他人、不能兌換現金或其他醫療服務。

• Further personal data including but not limited to ID Card, passport, etc will be required to be presented to HKAOA, FoodMedicineLab and its supporters and sponsors or verification upon the arrangement of the test. 
當測試時,將要求閣下提供進一步個人資科包括以及並不限於香港身份證、護照或其他身份證明文件,以作核實身份之用。

• In case of any disputes, HKAOA and FoodMedicineLab reserves the final decision and the ultimate right to make any changes to all terms and conditions without prior notice.
如有任何爭議,香港老年保健協會及有機愈膳房保留一切修改條款及細則之權利及最終決定權。細則如有更改恕不另行通知。

• In the event of any discrepancy between the English and Chinese versions, the English version shall prevail.
如中英文條款有所差異,一概以英文版本為準。

By clicking the “Agree & submit”, I confirm I read and agree with the "Disclaimer" and "Term and Conditions"

我按「同意及提交」即確定我已全部閱讀並同意以上「免責聲明」及「條款及細則」
   
Successful applicant will be contacted shortly
成功申請將有專人通知