觀看《香港大事回顧全紀錄 1967-2006》申請 Application for viewing of "Hong Kong Review 1967-2006"
姓名 Name
*
名 First Name
姓 Last Name
所在國家 (註: 基於版權問題,只向英國地區提供服務) Location (Note: due to copyright issue, this service will only be provided in the United Kingdom)
*
英國電話 (能以whatsapp 或signal 聯絡) UK Telephone (contactable through whatsapp or signal)
*
電郵 Email
*
希望觀看媒體的日期(最少三個工作日後) Preferred viewing date (at least three business days later)
*
-
Day
-
Month
Year
請確認觀看媒體謹為研究或私人研習目的 Please confirm the use of this media is solely for research or private study purpose
*
是 Yes
請簡單說明觀看媒體謹的研究或私人研習目的 Please briefly describe your research or private study purpose for the use of this media
*
請確認觀看媒體謹為非商業目的 Please confirm the use of this media is solely for non-commercial use
*
是 Yes
請確認和承諾閣下不會以任何形式複製該媒體的任何部份 Please confirm and undertake that you will not copy any part of the media in any form
*
是 Yes
請確認你同意所提交的個人資料由港書館及其代理以處理閣下的申請 Please confirm that you agree that the personal data submitted will be processed by us and our agents in processing your application
*
是 Yes
簽名 Signature
*
提交 Submit
提交 Submit
Should be Empty: