HKODA would like to sponsor ONE member of HKODA to attend "The 26th European College of Neuropsychopharmacology Congress" during 5th - 9th October 2013, in Barcelona, Spain. Our sponsorship will cover Registration fee, Air ticket and Accommodation during the conference for the nominated delegate. Interested applicant please fill in the application form below and fax to 3747 9862 or Email to “ momokoyu@yahoo.com.hk ”, Exco of HKODA.
 
Application form for Sponsorship of  “The 26th European College of Neuropsychopharmacology Congress" October 5th - 9th, 2013, in Barcelona, Spain.
 
Name:
 
Membership Number :     ______
 
1. Sponsored through HKODA with last  
 36 months  ○
 24 months  ○
 12 months  ○
 Never      ○
 
2. Active contribution in the association. If yes, please specify 
 
3. Specialty professional qualification ____________________________________

4. Experience relevant to criteria. If yes, please specify
 
5. Academic presentation at the conference. If yes, please specify
 
Deadline: 20th June 2013