HKODA would like to sponsor two members of HKODA to attend "27th ECNP Congress" from 18th-21st October 2014, in CityCube Berlin. Our sponsorship will cover registration fee, round trip economic air ticket and accommodation for the nominated delegates. Interested applicants 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 “27th ECNP Congress" October 18th-21st 2014, in CityCube Berlin.
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: 25th July 2014
