HKODA would like to sponsor one member of HKODA to attend "Certificate of Advanced Clinical Hypnosis" on 15th to 20th October 2012, in Melbourne, Australia. Our sponsorship will cover Registration fee and Air ticket 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 “Certificate of Advanced Clinical Hypnosis" October 15th - 20th, 2012, in Melbourne, Australia.
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
