WPA Regional Congress 2015 sporsorship

WPA Regional Congress 2015
 
HKODA would like to sponsor four members of HKODA to attend "WPA Regional Congress 2015" from 4-6 June 2015, in Osaka, Japan. Our sponsorship will cover round-trip economy air ticket, hotel accommodation and 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  “WPA Regional Congress 2015" June 4th - 6th 2015, in Osaka, Japan.

 

 
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: 4th May 2015
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