HKODA would like to sponsor one member of HKODA to attend " PsyAcademy Asia-Pacific Faculty Update Meeting" from 25th to 26th May 2012, in Bangkok, Thailand. Our sponsorship will cover Registration fee, Air ticket and Accommodation during meeting 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 HKODA.
Application form for Sponsorship of “PsyAcademy Asia-Pacific Faculty Update Meeting" May 25th-26th 2012, in Bangkok, Thailand.
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