APA annual meeting and preconference meeting: sponsorship for member

Janssen pre-conference meeting and APA annual meeting
 
HKODA would like to sponsor one member of HKODA to attend "Janssen pre-conference meeting and APA annual meeting" from 19th - 24th May 2017, in San Diego, United State. Our sponsorship will cover the congress registration, economic class air ticket and hotel accommodation 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.
 
Application form for Sponsorship of  “Janssen pre-conference meeting and APA annual meeting" May 19th - 24th 2017, in San Diego, United State.

 
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: 15th February 2017


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