~~~The Hong Kong Jockey Club

'(~ CONFIDENTIAL

ABSENT MEMBER —APPLICATION FOR REACTIVATION OF MEMBERSHIP

have returned to Hong Kong on* and wish to apply for reactivation of my membership.(q day) (~ month) (~ year)

The processing time is subject to the schedule of Membership Committee meetings.

~ Declaration

1. ~h~Ak~T~I~I;~3~,~~~~P/~Ifff~1C~7~~~~;f~~~~~~1~ ~ ~ ~Gh~A~;~~:"r~~~~~~~~~~1~Af~]fAJ~~~ ~'f~$~~ ~ , ;~~~

understand and agree to comply with the provisions of the Club's Articles of Association and/or any Bye-laws of the Club relating to AbsentMembership. I understand that the application for reactivation shall be made within 3 months upon becoming ordinarily resident in Hong Kongagain, and at the Club's request I shall provide documentary proof of my residency status.

2. ~J.~A~~:f~e~~,~a~u~~ ~ rTn'~~~a~ A~h#Et~~~TIf~~~,~f~7'f~~:;~ ~ ~J~~~~~ ~#~;~1~~A~~~4f~T71~~~~f~7'f~~;~:~~~~~~r~T~~~ ~ Lxr~~~~~7r~y~~~~~~~~~~~~T~~~understand that an Absent Member is defined as a former Member of the Club, and an application for reactivation of membership is subject to the

approval of the Stewards in their absolute discretion. I also understand upon approval of the reactivation, I have to pay a Reactivation Fee asdetermined by the Stewards in their absolute discretion, and subject to compliance with other conditions as may be imposed by the Stewards.

3. ~p~~l~'7~~1~#~E:~ ~ ~1~17~~'~~a~'7~aZil~l~~`7a~~~f~J~11#QI~

If my application is approved, I agree with the charging of the reactivation fee to my membership account.

confirm that I have read and understand the Club's Notice relating to Personal Data (Privacy) Ordinance (DP1) that is attached to this applicationform and is available at http://www.hkic.com/enalish/coraorate/corn orivacy.asa.

~J~~~;~~~f~t.~~s (~~A~~:~p~~J )My addresses in Hong Kong are:

~~~f~ht1EResidential address:

~~~~~Mobile:

~P~t ~ ~ ~ ~~I~ .

Tel: Fax: E-mail:

Occupation:

'~~~~~~Company:

f~7Position:

t~f~Business address:

tau ~ ~ ~ '~~~Tel: Fax: E-mail:

~~Y-~~~A~F A~R~1~c~Tth,~ a (RT~A~'r'~~h~'I ❑ T~~~t~t~ ❑ tt~f~ ° (~~~~~~~I~i1~Q~ ✓ ~)Please send monthly account statements and other Club correspondences to my ❑residential address ❑business address. (Pleasetick the appropriate boxes.)

~~ ~Name Signature

~~~~~ ~~Membership No. Date

~'(f p~ NOTES

1. 'f~T~ a ~~~ ~~~jl.~~ f~ ° ~:' 2015 ̀ ~ 2 A 1 E3 U~aZh~~3~Fm a ~~ ' 'FkT~ a ~~'~~1~5~~~~Q A A ' °The standard reactivation fee is equivalent to nine months' subscriptions of a Full Membership. For Absent Members registered before 1 February2015, the standard reactivation fee is equivalent to three months' subscriptions of a Full Membership.

2. ~s~T~c~J~%~t~~J~c#~x ~~J~,~-~~~~ ~Y~f~~~#~~ ~~~-~~~ 7~c~~~"f5}~/~~~I~The Member and Family are also required to complete and submit "The Hong Kong Jockey Club Membership Card Confirmation of Details","Application Form for Supplementary Card", "Card Data Sheet' and copy of Hong Kong Identity Card/Passport.

The completed forms should be submitted by mail or in person to Membership Services Department, The Hong Kong Jockey Club, 1 Sports RoadHappy Valley, Hong Kong.

FA509V01 appn absent rtn.doc/Jul 2019

~~i7 Enquiries ~'au Tel: 1814 (~:~. Faac: 2966 7031 ~~ E-mail: membership@hkjc.org.hk

~#~ln 7h#~fstl ?~i~t.uvt~G4~cig<~j F~~H 7 INCORPORATED UNDER THE COMPANIES ORDINANCE AND LIMITED BY GUARANTEE

~~~~The Hong Kong Jockey Club

Use of Personal Data In Direct Marketing

The Hong Kong Jockey Club and its subsidiaries (together referred to as "the Club"; each "a Club Entity"in the Club's Privacy Policy Statement) intend to use your name, contact information and demographicinformation to send you direct marketing communications regarding facilities, services, support, eventsand activities offered or arranged by the Club or a Club Entity, in areas specified in the Direct MarketingSection of the Club's Privacy Policy Statement. We may not so use your personal data unless exemptedby the Personal Data (Privacy) Ordinance or we have received your consent

To indicate your agreement to such use, please sign at the end of this statement. To indicate yourobjection to such use, please check ("✓ ") the box below and the Club will, without charge, cease to souse your personal data for direct marketing purposes.

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[ ] I object to my personal data to be used by the Club in direct marketing.

Name of Principal Member:

Signature:

Membership No:

Date:

[ ] I object to my personal data to be used by the Club in direct marketing.~J~~z~f,~ a ~~~J~~'7T0~~ %F~-1'~~#~Tr~~~i~,~3

Name of Spouse Member:(if applicable)

Membership No:

Signature: Date:

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IMPORTANT NOTE :The processing of the autopay instruction takes approximately 4 - 6 weeks. The words "BY AUTOPAY" will be shown in yourmonthly statement to confirm that the autopay arrangement has become effective upon completion of instruction. Until theautopay arrangement becomes effective, please settle your Hong Kong Jockey Club Membership Card (" HKJC MembershipCard") payment by other payment methods as suggested in the back of the monthly statement.

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~~L:11 ~~ a ~~~A~R>~~#~~ ~ ~J~(~)/~~ ~llAl e R~aJ~7T~,r~~A~J~()/~~; ~1.~€~17~~1=~T,~ ~ -~~ Qsf~~~n~3's~A~sa~1~h(~)/~~: Al ~ ~#~~,~r~~~x~C~~~r7~~~~t ~ ~J~(~)i~~;~(p7,~.~J.(~)i~~;~~;~~~~c~~~.~1~17~~n ~ 's~~^~>~i~~~~~~~1f~si'~~~~ux~~l.(~)1~~;~~~17I/We hereby authorise my/our below named Bank to effect transfers from my/our account to that of the above named Beneficiary in accordance with such instructions asmy/our Bank may receive from the Beneficiary from time to time. I/We agree that my/our Bank shall not be obliged to ascertain whether or not notice of any such transfer hasbeen given to me/us. I/We jointly and severally accept full responsibility for any overdraft (or increase in existing overdraft) on my/our account which may arise as a result ofany such transfer(s). WVe agree that should there be insufficient funds in my/our account to meet any transfer hereby authorised, my/our Bank shall be entitled, in its discretion,not to effect such transfer in which event my/our Bank may make the usual charge and that it may cancel this authorisation by 1-week written notice at any time. INVe agreethat the Beneficiary may from time to time change the HKJC Membership Card Account Numbers) below referred to by notice to my/our Bank without further reference fromme/us. This authorisation shall have effect until further notice. I/We agree that any notice of cancellation or variation of this authorisation which I/we may give to my/ourBank shall be given at least 7 working days prior to the date on which such cancellation/variation is to take effect.

'~f~$TF' ❑ To Debit From

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My/Our Account Names) as Recorded on StatemenUPassbook in English Bank No. Branch No. My/Our Account No.

~I]I~~T~L~~~~'f7~Q'~~~sT~ ~~'(T~Q ~~i:`f~3z~,~"af~xC°]RB~' 4B~~Tt~&~~Remark: If you select to debit from other bank account, please return the completed Authorisation Form to Hang Seng and Hang Seng will process on your behalf.

8~~~} Information of Member/ ITf~'❑ To Pay ForkP~-~T~~ff~~~~I~~I~ ~~%~~~~~~~~Q,~~irc

Remark: If Principal Card and Supplementary Cartl have shared the credit limit, please fill in the HK1C Membership Card Principal Card Account Number

1~~~~~~ C ~~~~ ~J~~~S~~) ~~~~~~~~A~ ~~~~st~~Name of Debtor (English Name of HKJC Membership Card Applicant) Daytime Contact Tel. No. HKJC Membership No.

T~~ %~~ (~ ~ -~~ Q sJ,~~1) Debtor's Reference (HKJC Membership Card Account Number 1)

1~~~~~ (~ ~ ~~ Qs1~~2) Debtor's Reference (HKJC Membership Card Account Number 2)

T~'#a T Payment Instruction

~~3~ ~ ~i ~f~]~JQ~ ~ ✓~ C ~ 1~~' Q ~~~'A7~A~1~ ~ ~1J ~4f ~~~) ° Please " ✓ " if appropriate (Please allow sufficient fund in the account for repayment by autopsy).

❑ ~ ~~~~~~-~~~~~ r~ Axe ~~ ❑ ~ ~~T~r~~~~~A~~r ~Ax~~~~ °ia~~r~+~~.~~~ ~~,~~~~~~~~~Autopsy "NEW BALANCE" amount shown in Autopsy % of "NEW BALANCE" amount or the "MINIMUM PAYMENT AMOUNT" shown inHKJC Membership Card Monthly Statement HKJC Membership Card Monthly Statement (whichever is higher)**

~~j„~F~T~,~~-~A~A~~ ~~sTff,~,~~J * ~ Remark: *T3~~$;`~~~~ Not applicable to Private Label Card MemberAutopsy "MINIMUM PAYMENT AMOUNT" shown in +~:f,T ~fit~„~;~~~ • ~~~;~q~ ~~n`r~~5~4A The payment percentage isHKJC Membership Card Monthly Statement* required to bean integer and it is suggested to set a payment percentage in a multiplier of 5.

~h(~)/~2;~~x ~1~ti~Ep~(~A3L~~) My/Our Signature(s)withCompanyChop(ifapplicable) ~~Date

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