13th International Congress of the Asian Society Against Dementia: Sponsorship for member

13th International Congress of the Asian Society Against Dementia
 
HKODA would like to sponsor one member of HKODA to attend "13th International Congress of the Asian Society Against Dementia" from 28th - 31st August 2019 in Singapore. Our sponsorship will cover the registration fee, round-trip economy class air ticket and 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 " 13th International Congress of the Asian Society Against Dementia" 28th - 31st August 2019 in Singaopre.

 
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: 12th August 2019
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