The 6th Congress of Asian College Neuropsychopharmacology 2019: sponsorship for member

The 6th Congress of Asian College Neuropsychopharmacology 2019 
 
 
HKODA would like to sponsor one member of HKODA to attend "The 6th Congress of Asian College Neuropsychopharmacology (ASCNP)" from 11th - 13th October 2019 in Fukuoka, Japan. Our sponsorship will cover the registration fee, round-trip economy 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 "The 6th Congress of Asian College Neuropsychopharmacology (ASCNP)" 11th - 13th October 2019 in Fukuoka, Japan.

 
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: 6th May 2019
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