WPA XVII World Congress of Psychiatry: sponsorship for member

WPA XVII World Congress of Psychiatry
 
HKODA would like to sponsor one member of HKODA to attend "WPA XVII World Congress of Psychiatry" from 8th - 12th Otober 2017 in Berlin, Germany. 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  “WPA XVII World Congress of Psychiatry" October 8th - 12th 2017, in Berlin, Germany.

 
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: 7th July 2017
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