World Psychiatric Association International Congress : sponsorship for member

World Psychiatric Association International Congress
 
HKODA would like to sponsor one member of HKODA to attend "World Psychiatric Association International Congress" from 18th - 22nd November 2016, in Cape Town. Our sponsorship will cover the congress registration, economic class air ticket and hotel 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  “World Psychiatric Association International Congress" November 18th - 22nd 2016, in Cape Town.

 
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: 17th August 2016
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