17th Congress of the Asian Pacific Society of Respiratory 2012
17th Congress of the Asian Pacific Society of Respiratory 2012
HKODA would like to sponsor one member of HKODA to attend "17th Congress of the Asian Pacific Society of Respiratory 2012" during 14th-16th December 2012, in Hong Kong Convention and Exhibition Centre. Our sponsorship will cover Registration fee 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 HKODA.
Application form for Sponsorship of “17th Congress of the Asian Pacific Society of Respiratory 2012" December 14th-16th, 2012, in Hong Kong.
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
