Greater China Psychiatry Forum: Sponsorship for Members

Greater China Psychiatry Forum
 
HKODA would like to sponsor four members of HKODA to attend "Greater China Psychiatry Forum" from 31st Oct-1st Nov 2015, in Guangzhou, China. Our sponsorship will cover round trip economic train 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  “Greater China Psychiatry Forum" Oct 31st - Nov 1st 2015, in Guangzhou, China.

 

 

 
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: 5th Oct 2015
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