公開資料守則 -索取資料 申請表格
CODE ON ACCESS TO INFORMATION - APPLICATION FORM
（這份表格可用英文或中文填寫，填寫前請細閱表格下方的備註。）
(This form can be completed either in English or Chinese. Please read the notes below before filling out the form.)
姓名 Name
:
先生 Mr
夫人 Mrs
小姐 Miss
女士 Ms
通訊地址 Correspondence Address
:
電話號碼 Tel. No.
:
傳真號碼 Fax No.
:
電郵地址 Email Address
:
確認電郵
所需資料詳情（請盡量具體說明，以便我們清楚知道你需要的是甚麼資料。）
Details of information requested (Please be as specific as possible: it will help us identify clearly what you are looking for.)
:
*
驗證碼 Verification Code
:
備註 Notes:
你提出此申請，代表你已閱讀及同意本局網頁所載的
公開資料守則
。
By making this application, you represent that you have read and agreed with the
Code on Access to Information of the Authority
available at the Authority's website.
本局會按照翻印紀錄所需的成本收取費用，並預先告知你所需繳付的費用。
A charge reflecting the cost of reproducing the records concerned may be levied. The Authority will advise you in advance of any such charge.
你或需提供更多資料，以協助我們回應你的申請。如你未能提供足夠資料，本局可能無法處理你的申請。
You may be asked to provide additional information to help us meet your request. The Authority may not be able to process your application if you do not provide sufficient information.
如欲索取或更改載列在本表格的個人資料，請參閱
查閱個人資料申請指引
及與本局的公開資料主任聯絡。
For access to or correction of personal data contained in this application, please refer to the
Application Guide on Data Access Requests
and contact the Access to Information Officer of the Authority.