The International Review of Bipolar Disorders 2013
The International Review of Bipolar Disorders 2013
HKODA would like to sponsor one member of HKODA to attend "The International Review of Bipolar Disorders 2013" during 18th-20th March 2013, in Seville, Spain. Our sponsorship will cover Registration fee, Air ticket and Accommodation during the conference 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 “The International Review of Bipolar Disorders 2013" March 18th-20th, 2013, in Seville, Spain.
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
