Greater China Psychiatry Forum 2017: Sponsorship for Member

Greater China Psychiatry Forum 2017
 
HKODA would like to sponsor five members of HKODA to attend "Greater China Psychiatry Forum" from 21st - 22nd October 2017 in Guangzhou. Our sponsorship will cover accommodation and round trip limousine 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" October 21st - 22nd, 2017, in Guangzhou.

 
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: noon 22nd September 2017


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