World Psychiatric Association Congress 2014

World Psychiatric Association Congress 2014
 
HKODA would like to sponsor four members of HKODA to attend "World Psychiatric Association Congress 2014" from 12th-14th December 2014, in Hong Kong. Our sponsorship will cover registration fee 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  “World Psychiatric Association Congress 2014" December 12th-14th 2014, in Hong Kong.

 
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: 12th October 2014


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