4th World Congress of Asian Psychiatry
HKODA would like to sponsor TWO members of HKODA to attend "4th World Congress of Asian Psychiatry" during 20th - 23rd August 2013, in Bangkok, Thailand. 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 “4th World Congress of Asian Psychiatry" August 20th - 23rd 2013, in Bangkok, Thailand.
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
Extended Deadline: 24th July 2013
