hong kong model united nations clubbeta.cedars.hku.hk/cms/htdoc/upload/other_file/22f... · room...

HONG KONG MODEL UNITED NATIONS CLUB

Room 812-813, Youth Square, 238 Chai Wan Road, Chai Wan, Hong Kong

Tel: (852) 3172 2232 Fax: (852) 3172 2231 E-mail: [email protected]

Dear Students,

Invitation to the Hong Kong Model United Nations Conference 2012

On behalf of the Hong Kong Model United Nations Club, we sincerely invite you to join the upcoming Hong Kong Model

United Nations Conference 2012 (HKMUNC2012), which will be held in February 2012.

Established in 2005, HKMUNC aims at promoting MUN culture in the region, promoting world peace through

understanding and cooperation between cultures and arousing youth attention on global issues. In an MUN conference,

participants will act as diplomats representing a nation to debate on worldwide issues. Details of the conference are as

follows:

Date: 9 to 12 February, 2012

Venue: Y-square, Chai Wan

Registration fee per person: HKD 950 (excludes accommodation) or HKD 2,150 (includes accommodation)

Website: www.hkmunc.org.hk

Application Deadline: 23 December, 2011

This is our 8th time to hold the same conference. Over the past conferences, the participants enjoyed to be in a stimulation

of debate and discussion in the United Nations. That is because they had the opportunity to meet delegates from all over

around the globe, sit together and discuss world affairs.

We are looking forward to receiving your application. With your participation, we are definitely having a high-quality level

of discussion and debate in HKMUNC 2012.

Should you have any enquiries, please feel free to contact us at (852)-3172 2231 or email to [email protected].

Yours sincerely,

Heiki Tsang

President (Session 2011-2012)

Hong Kong Model United Nations Club

Tel: (852) 3172-2231

Fax: (852) 3172-2232

Email: [email protected]

Website: www.hkmunc.org.hk

http://www.hkmunc.org.hk/

mailto:[email protected]

mailto:[email protected]

http://www.hkmunc.org.hk/




HKMUNC 2012_Individual Delegation Application Form p.1

Hong Kong Model United Nations Conference 2012 INDIVIDUAL Delegation Application Form

__________________________________________________________________

Please read through the application guidelines before filling this form.

Use separate sheet(s) if necessary.

Delegates Information

Delegate Type: Please the appropriate box(s). □ Local (Local delegate includes Hong Kong local students and non-local students who are currently studying in HK.)

(Registration package: □ HKD 950, without accommodation or □HKD 2,150, with 3-days accommodation)

□ Non- Local (Registration package:HKD 2,150, with 3-days accommodation) *All non-local delegates have to stay in the hotel we provided.

A. Personal Particulars

Name in Passport / HKID: (English)

Given Name:

Surname:

中文全名:

Date of Birth (DD/MM/YY): Gender:

Nationality: Place of birth:

Residential Address:

E-mail Address:

Telephone no. : (residential) (mobile)

HKID No./ Passport No:

Country of issue: Valid Until

(DD/MM/YY):

University / College:

Form / Year:





B. Health Conditions (If any) All information provided here will be kept in the strictest confidence, and will solely be used for medical-related purposes only.

1. Do you have a history of any of the following sicknesses? (Select as appropriate)

Epilepsy □

Level of severity:

Regular medication:

Fits □

Level of severity:

Regular medication:

Blackouts □

Level of severity:

Regular medication:

Acute respiratory conditions □

Level of severity:

Regular medication:

Asthma □

Level of severity:

Regular medication:

Cardiac illnesses □

Level of severity:

Regular medication:

Food allergies □

Type(s) of food:

Level of severity:

Regular medication:

Others □

Level of severity:

Regular medication:

2. Specification of food

(e.g. Vegetarian diet or food you do not consume due to religious reason)

*Put N/A if it is not applicable

Please specify:





C. Contact Person during Emergency (Compulsory field)

D. Committee and Country Preference

Please rank your committee preference and select the country you want to represent

Rank Committee Country

World Health Organization (WHO)

Economic and Social Council (ECOSOC)

Social, Humanitarian and Cultural Committee (SOCHUM)

Security Council (SC)

Double delegation for World Health Organization (WHO), Economic and Social Council (ECOSOC) and Social, Humanitarian and Cultural Committee (SOCHUM)

Double Delegation + 5 single delegation observing countries for Security Council (SC)

E. Past MUN Experience

Please indicate (if any) your past participation in any MUN conference.

Date of Participation Organization

Surname

Given name

Residential Address

Telephone no.

E-mail Address

Relationship





F. Written Assignment

Please write an individual essay of ~ 500 words on why you would like to represent one of the

following countries in your most preferred committee as chosen above. (Please use separate sheets)

Argentina; Australia; Austria; Bangladesh; Belgium; Bolivia; Bosnia and Herzegovina;

Brazil; Burkina Faso; Canada; China; Colombia; Congo; Costa Rica; Croatia; Democratic

People's Republic of Korea; Democratic Republic of the Congo; France; Gabon; Georgia;

Germany; Ghana; Greece; India; Indonesia; Iran; Ireland; Israel; Italy; Japan; Lebanon;

Libya; Malaysia; Mexico; Netherlands; Nigeria; Pakistan; Panama; Peru; Portugal; Qatar;

Republic of Korea; Romania; Russian Federation; Rwanda; Saudi Arabia; Singapore; South

Africa; Spain; Sudan; Switzerland; Turkey; Uganda; United Arab Emirates; United Kingdom;

United Republic of Tanzania; United States of America; Viet Nam; Yemen

**For the detail country list of each committee, please refer to our official website**

To confirm your application, the following documents have to be submitted.

1.Copy of your Valid Student Identity Card

2.Written Assignment

DECLARATION

I , (Name), hereby declare that the information provided in the

application package is accurate and complete. I also understand the Hong Kong Model United

Nations Club has discretion over the selection of applicants. I authorize the Hong Kong Model

United Nations Club to handle and use my personal data /information provided for recruitment

and statistical purposes.

Privacy Policy: All information obtained will be kept in strictest confidence and used for

recruitment, assessment and statistical purposes only

For Secretariat Use Only

Successful Not successful

Screened by: Signature: Date:

Checked by: Signature: Date:




HKMUNC 2012_Delegate Application Form p.1

Hong Kong Model United Nations Conference 2012 TEAM Delegation Application Form

__________________________________________________________________

Please read through the registration guidelines before filling this form.

Use separate sheet(s) if necessary.

Delegates Information

Delegate Type: Please the appropriate box(s). □ Local (Local delegate includes Hong Kong local students and non-local students who are currently studying in HK.)

(Registration package: □ HKD 950, without accommodation or □HKD 2,150, with 3-days accommodation)

□ Non- Local (Registration package:HKD 2,150, with 3-days accommodation) *All non-local delegates have to stay in the hotel we provided.

i. Each team consists of 2-6 delegates.

ii. In each team, at most 2 delegates can be in the same committee, while SC only accepts 5 single delegations.

Delegates in the same committee will represent the same country.

iii. Delegates in the same team do not mean that they will represent the same country in different committees.

Team Details

School / Team Name

Head Delegate Full Name

E-mail Address

Confirm E-mail

Mobile

Delegate Delegate Full Name Head Delegate Delegate 2 Delegate 3 Delegate 4 Delegate 5 Delegate 6

Faculty Advisor (if any)

Full Name in passport / ID (Eng):

Gender: Mobile no:

Email address:





I. For Head Delegate A. Personal Particulars


Given Name:

Surname:

中文全名:




E-mail Address:




(DD/MM/YY):


Form / Year:



Epilepsy □

Level of severity:

Regular medication:

Fits □

Level of severity:

Regular medication:

Blackouts □

Level of severity:

Regular medication:


Level of severity:





Regular medication:

Asthma □

Level of severity:

Regular medication:


Level of severity:

Regular medication:

Food allergies □

Type(s) of food:

Level of severity:

Regular medication:

Others □

Level of severity:

Regular medication:




Please specify:


Surname

Given name

Residential Address

Telephone no.

E-mail Address

Relationship





II. For Delegate 2 A. Personal Particulars


Given Name:

Surname:

中文全名:




E-mail Address:




(DD/MM/YY):


Form / Year:



Epilepsy □

Level of severity:

Regular medication:

Fits □

Level of severity:

Regular medication:

Blackouts □

Level of severity:

Regular medication:


Level of severity:





Regular medication:

Asthma □

Level of severity:

Regular medication:


Level of severity:

Regular medication:

Food allergies □

Type(s) of food:

Level of severity:

Regular medication:

Others □

Level of severity:

Regular medication:




Please specify:


Surname

Given name

Residential Address

Telephone no.

E-mail Address

Relationship





III. For Delegate 3 A. Personal Particulars


Given Name:

Surname:

中文全名:




E-mail Address:




(DD/MM/YY):


Form / Year:



Epilepsy □

Level of severity:

Regular medication:

Fits □

Level of severity:

Regular medication:

Blackouts □

Level of severity:

Regular medication:


Level of severity:





Regular medication:

Asthma □

Level of severity:

Regular medication:


Level of severity:

Regular medication:

Food allergies □

Type(s) of food:

Level of severity:

Regular medication:

Others □

Level of severity:

Regular medication:




Please specify:


Surname

Given name

Residential Address

Telephone no.

E-mail Address

Relationship





IV. For Delegate 4 A. Personal Particulars


Given Name:

Surname:

中文全名:




E-mail Address:




(DD/MM/YY):


Form / Year:



Epilepsy □

Level of severity:

Regular medication:

Fits □

Level of severity:

Regular medication:

Blackouts □

Level of severity:

Regular medication:


Level of severity:





Regular medication:

Asthma □

Level of severity:

Regular medication:


Level of severity:

Regular medication:

Food allergies □

Type(s) of food:

Level of severity:

Regular medication:

Others □

Level of severity:

Regular medication:




Please specify:


Surname

Given name

Residential Address

Telephone no.

E-mail Address

Relationship





V. For Delegate 5 A. Personal Particulars


Given Name:

Surname:

中文全名:




E-mail Address:




(DD/MM/YY):


Form / Year:



Epilepsy □

Level of severity:

Regular medication:

Fits □

Level of severity:

Regular medication:

Blackouts □

Level of severity:

Regular medication:


Level of severity:





Regular medication:

Asthma □

Level of severity:

Regular medication:


Level of severity:

Regular medication:

Food allergies □

Type(s) of food:

Level of severity:

Regular medication:

Others □

Level of severity:

Regular medication:




Please specify:


Surname

Given name

Residential Address

Telephone no.

E-mail Address

Relationship





V. For Delegate 6 A. Personal Particulars


Given Name:

Surname:

中文全名:




E-mail Address:




(DD/MM/YY):


Form / Year:



Epilepsy □

Level of severity:

Regular medication:

Fits □

Level of severity:

Regular medication:

Blackouts □

Level of severity:

Regular medication:


Level of severity:





Regular medication:

Asthma □

Level of severity:

Regular medication:


Level of severity:

Regular medication:

Food allergies □

Type(s) of food:

Level of severity:

Regular medication:

Others □

Level of severity:

Regular medication:




Please specify:


Surname

Given name

Residential Address

Telephone no.

E-mail Address

Relationship





DECLARATION

I, (Name), the head delegate,

on behalf of (Team Name), hereby declare that the

information of mine and my fellow teammates provided in the application package is accurate

and complete. We also understand the Hong Kong Model United Nations Club has discretion

over the selection of applicants. We authorize the Hong Kong Model United Nations Club to

handle and use our personal data /information provided for recruitment and statistical

purposes.

Signature (by head delegate): Date:

Privacy Policy: All information obtained will be kept in strictest confidence and used for

recruitment, assessment and statistical purposes only

For Secretariat Use Only

Successful Not successful

Screened by: Signature: Date:

Checked by: Signature: Date:

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