Change Request Form

School Name

Name of Teacher-In-Charge

Contact Phone No.

Email Address

Date of Submission

Please specify your proposed changes by items in the following section.

Item # 1

Item Reference No. in Application Form

Original Version

Proposed Change

Original Estimated Amount (HK$)

Revised Estimated Amount (HK$)

Justification(s)

I confirm everything of the annual plan, except the proposed change(s) above, remains unchanged.

I confirm the school principal approved the proposed change(s) above.

I have read the "Personal Information Collection Statement" and agreed that the personal data provided can be used by the Office of the Government Chief Information Officer for the stated purposes.

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