21st Annual ISBD Conference: Global Advances in Bipolar Disorder and Depression: Sponsorship for member

 21st Annual ISBD Conference: Global Advances in Bipolar Disorder and Depression
 
HKODA would like to sponsor one member of HKODA to attend "21st Annual ISBD Conference: Global Advances in Bipolar Disorder and Depression" from 20th - 23rd March 2019 in Sydney, Australia. Our sponsorship will cover the registration fee, round-trip economy 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  “21st Annual ISBD Conference: Global Advances in Bipolar Disorder and Depression" March 20th - 23rd 2019, in Sydney, Australia.

 
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: 8th February 2019
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