HKODA would like to sponsor four members of HKODA to attend "Greater China Psychiatry Forum" from 1st to 3rd June 2012, in Guangzhou, China. Our sponsorship will cover Registration fee, Train ticket and Accommodation during forum period 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" June 1st - 3rd 2012, 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
