The 6th Annual Scientific Meeting Hong Kong Society of Biological Psychiatry

The 6th Annual Scientific Meeting Hong Kong Society of Biological Psychiatry

 
PHUDA would like to sponsor two members of PHUDA to attend "The 6th Annual Scientific Meeting Hong Kong Society of Biological Psychiatry" from 16th to 17th March 2012, in Hong Kong. Our sponsorship will cover Registration fee 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 “
The 6th Annual Scientific Meeting Hong Kong Society of Biological Psychiatry" March 16th-17th 2012, in Hong Kong.

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: 5th March 2012



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