Clinical Research Workshop
PHUDA would like to sponsor one member of PHUDA to attend "Clinical Research Workshop" from 11th to 12th November 2011, in Singapore. Our sponsorship will cover Registration fee, Air ticket and Accommodation during workshop period for the nominated delegate. Interested applicant please fill in the application form below and fax to 3747 9862 or Email to “momokoyu@yahoo.com.hk ”, Exco of PHUDA.
Application form for Sponsorship of “Clinical Research Workshop" November 11th-12th 2011, in Singapore.
Name:
Membership Number : ______
1. Sponsored through HKPHUDA 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: 4th November 2011
