31st ECNP Congress: sponsorship for member

31st ECNP Congress
 
HKODA would like to sponsor one member of HKODA to attend "31st ECNP Congress" from 6th - 9th October 2018 in Barcelona, Spain. Our sponsorship will cover the registration fee, economic class air ticket and 5 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  “31st ECNP Congress" October 6th - 9th 2018, in Barcelona, Spain.

 
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: 22nd March 2018
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