PHUDA would like to sponsor two members of PHUDA to attend "EMBU China-AMERASIA Regional Neuroscience Conference" from 24th to 25th April 2012, in Beijing, China. Our sponsorship will cover Registration fee, Air ticket and Accommodation during workshop period for the nominated delegate. Interested applicant please fill in the application form below and fax to 3747 9862 or Email to “momokoyu@yahoo.com.hk ”, Exco of PHUDA.
Application form for Sponsorship of “EMBU China-AMERASIA Regional Neuroscience Conference" April 24th-25th 2012, in Beijing, China.
Name:
Membership Number : ______
1. Sponsored through HKPHUDA 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: April 10, 2012
