WPA Inter Zonal Congress: Sponsorship for Member

WPA Inter Zonal Congress
 
HKODA would like to sponsor one member of HKODA to attend "WPA Inter Zonal Congress" from 3rd - 6th May 2017, in Vilnius, Lithuania. Our sponsorship will cover the congress registration, economic class air ticket and 4 nights 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  “WPA Inter Zonal Congress" May 3rd - 6th 2017, in Vilnius, Lithuania.

 
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: 26th March 2017
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