Cognitive Therapy of Personality Disorders Workshop
 
HKODA would like to sponsor FOUR members of HKODA to attend "Cognitive Therapy of Personality Disorders Workshop" during 31st May - 1st Jun 2013, in Hong Kong. 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  “Cognitive Therapy of Personality Disorders Workshop" May 31st -Jun 1st, 2013, 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
 
Deadline (extended): 22nd May 2013