阅读下面邮件，请你填写李强申请学校俱乐部的有关信息．

Dear Sir，

My name is Li Qiang．I'm in Grade 2，Class 3，and I'm thirteen and a half years old．I want to be in a club in our school．I do well in languages and I can speak English very fluently （流利地）．I can also play the piano very well．I took part in several English competitions．Last year in School English Show I got the first prize．So I think I can be in the English club．Can I join you？My email is [e-mail] write me back and let me know．

Li Qiang

Application（申请）for School Club student's name：LiQiang Grade and Class        （71）　　 Age：（72）　　 Club he wants to be in：（73）　　 Result in School English Show：（74）　　 E﹣mail address：（75）