PHUDA

Sponsorship of Member: “30th ECNP Congress"

30^th ECNP2017

HKODA would like to sponsor one member of HKODA to attend "30^th ECNP2017" from 2nd - 5th September 2017 in Paris. France. 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 “30^th ECNP2017" September 2nd - 5th 2017, in Paris, France.

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: 29th May 2017