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Application Form

The document is an application form for the Centre Programme for HKDSE Music (2025-2028), requiring personal information, music background, and recommendations from a school music teacher. It includes sections for music qualifications, activities, and a checklist of required documents. Additionally, it contains declarations from both the applicant and their parent/guardian regarding the application process.

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denniskwgu
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Download as PDF, TXT or read online on Scribd
3 views

Application Form

The document is an application form for the Centre Programme for HKDSE Music (2025-2028), requiring personal information, music background, and recommendations from a school music teacher. It includes sections for music qualifications, activities, and a checklist of required documents. Additionally, it contains declarations from both the applicant and their parent/guardian regarding the application process.

Uploaded by

denniskwgu
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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Centre Programme for HKDSE Music (2025-2028)

Application Form

Personal Information

1. Name : (English)_________________(Chinese)__________________ Photo Here

2. Sex: ______

3. Date of Birth (dd/mm/yyyy):_________________________________

4. Phone: (Home)___________________(Mobile)__________________

5. Email Address: __________________________________

6. Home Address:__________________________________________________________

7. Contact in Case of Emergency: (Name)______________________

(Relationship)______________________(Mobile)______________________

(For Day-school student)

8. School: ______________________________________________

9. School Phone Number: __________________________________

10. School Address: _________________________________________________________

11. Name of Music Panel and Contact:

(Name)______________________(Email)______________________

(Phone)______________________

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Address: P. O. Box 756, Shatin Central Post Office, N. T. Email: [email protected]
Music Background

1. Instrument(s) and Qualification(s) (please attach the photocopy of certificates)


No Instrument(s) Qualification(s)
Ex. Piano Grade 7 (Pass), ABRSM
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2. Have you obtained the certificate of ABRSM Grade 5 or above of the theory examination?
___ Yes (please attach the certificate’s photocopy) ___ No

3. Music Activities Participated in School / Outside School (e.g. orchestra, choir)


No Music Activities In School / Outside School Yr(s) of Participation
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4. Others (e.g. competitions, performance)


No Event(s) Result(s)
Ex. 61st Hong Kong Schools Music Festival (Solo Piano) 1st Runner up; marks: 93
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Address: P. O. Box 756, Shatin Central Post Office, N. T. Email: [email protected]
Recommendation by School Music Teacher
(for Day-school student)

I, _______________________ (teacher’s name), recommend _________________________ (applicant’s


name) joining this programme to prepare for the Music examination of the Hong Kong Diploma of
Secondary Education (HKDSE).

The school will be responsible for the student’s application of the Hong Kong Diploma of Secondary
Education in Music. Once this student is enrolled in the programme, the school will give individual training
to the student, or find outside resources for preparation of the Performing paper (Paper 2) at the HKDSE
Music.

Teacher’s Signature: ___________________________

Teacher’s Name: ___________________________

Contact: (Mobile) (Office)

School’s Name: _____________________________________

School Chop: _____________________________________

Date: ____________________________

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Address: P. O. Box 756, Shatin Central Post Office, N. T. Email: [email protected]
Application Checklist (Please Tick)

___ Application Form (4 pages in total)

___ Photocopy of Theory of Music Examination

___ Photocopy of Instrumental Examination

___ Photocopy of Proof for Participation of Music Activities

___ Any Other Certificates (Please state: _________________________________)

Declaration (Applicant)
I understand that if I wilfully give any false information, I shall render myself liable to dismissal if I am
accepted in the Programme for HKDSE Music Curriculum organized by the Institute of Music Education
Limited.

Signature of the Applicant: _______________________ Date: ________________________

Declaration (Parent/Guardian)
I hereby give permission for my son/daughter to apply for the Centre Programme for HKDSE Music
(2025-2028).

Name of parent/guardian: _______________________

Signature of parent/guardian: _______________________ Date: ________________________

_______________________________________________________________________________________
Please send your documents to the following address before the deadline 15th August 2025 (Friday):

Institute of Music Education Limited


P. O. Box 756
Shatin Central Post Office
Hong Kong

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Address: P. O. Box 756, Shatin Central Post Office, N. T. Email: [email protected]

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