I would like to report / complain the following road defects:-
Road:
District:
Direction:
Near: (Give nearest house or lamp post number if possible)
The personal data provided by you below will be used by the Highways Department, relevant Government departments and bureaux for the purpose of facilitating communication between the Government and yourself for act戈vities relating to the complaint or enquiry made by you. Should you refuse to supply the required data, no reply with respect to your complaint or enquiry will be made to you.
The personal data you provided by means of this form may be disclosed to other relevant organizations, agents, contractors or consultants for the purpose(s) mentioned above unless you indicate your disagreement below.
You have a right of access and correction with respect to personal data as provided for in sections 18 and 22 and principle 6 of Schedule 1 of the Personal Data (Privacy) Ordinance. Your right of access includes the right to obtain a copy of your personal data provided by this form.
Enquiries concerning the personal data collected by means of this form, including the making of access and corrections, should be addressed to : Highways Department Public Relations Unit, 5/F, Ho Man Tin Government Offices, 88 Chung Hau Street, Ho Man Tin, Kowloon.
I have read and acknowledge the above "Notes about Personal Data".
* I agree / disagree to refer my personal contact to other relevant organizations, agents, contractors or consultants for follow-up of this case and direct reply to me.
Name:
Telephone / Fax No. :
Email :
Date :
