Asian Psychiatric Educational Workshop (APEW) 2011
PHUDA would like to sponsor one member of PHUDA to attend "APEW 2011" from 17th to 18th December 2011, in Japan. 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 “APEW 2011" December 17th-18th 2011, in Japan.
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
