Application form for Sponsorship of “CUHK Sleep 2014 Conference" September 27th-28th 2014, in Hong Kong.
HKODA would like to sponsor two members of HKODA to attend "CUHK Sleep 2014 Conference" from 27th-28th September 2014, in Hong Kong. Our sponsorship will cover registration 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.
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: 23rd June 2014
