Application for Hong Kong St. John Ambulance Brigade


This form is designed for application of adult membership of Hong Kong St. John Ambulance Brigade. The age requirement for adult member is 17. If you are UNDER 17, I'm sorry that this form cannot help you at that time.

If you are applying for St. John Ambulance Brigade in location other than HONG KONG, please go to one of their web site and write to their WebMaster.


Please use English to fill-in this form

We need your E-mail address for easy communication, please give us your e-mail address if you have one.
Your Email:

Please type your surname first (eg. ³¯¤j¤å CHAN Tai-Man, John)
Full name:

If you feel unconformable to provide information HERE, please download the appliation form from
HK St. John Ambulance Brigade official site and return by mail.

Sex: H.K.I.D. No.: Nationality:

Date of birth: Place of birth:

Residence Telephone No.:
Residential Address:

Can you serve Hong Kong Island?

Occupation:

Company/School Name (Student should fill-in school name):
Office Telephone No.:
Office Address:

Correspondence:

If you are currently holding a valid First-Aid Certificate or Nursing Certificate, please stated clear the Certificate(s) you hold and the expiration date of the Certificate(s) in the [Remark] field.
If you DO NOT have a valid First-Aid Certificate issued by Hong Kong St. John Ambulance Association, you may need to take the corresponding course. Your application can only be completed if you can passed the examination.

Remark (Enter any additional information here):



Last modified date : 29 Jul, 2020.