The College of Surgeons of Hong Kong

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The College of Surgeons of Hong Kong
Application for Sponsorship to Meetings / Conferences

Important: Applicant must be Fellow / Ordinary Member of the College of Surgeons of Hong Kong
(The College of Surgeons of Hong Kong will not be able to process any application that fails to provide the following information.)

*I wish to apply for the sponsorship no. as publicized in the College's sponsorship homepage.

*Have you received other sponsorship concomitantly for this Meeting / Conference:

*My contribution to this Meeting / Conference other than passive participation:
Speaker/Oral presentation
Chairman of a symposia/session
Poster presentation Organizing
Organizing Committee Member
Other (Please specify)

Personal Information:

Title	:
Surname	:
Given Name	:
Surgical Specialty	:
(for others only)	:
Employment Status	:
Email Address	:
Telephone No.	:
Mobile	:
Pager	:
Fax No.	:
Correspondence Address	:

If you have previously received any sponsorship through the College to meetings / conferences, please give details of the meeting / conference that you have attended (e.g. Title / Country / Date, etc.) :

Please submit your application by completing this form and pressing the SUBMIT button OR by fax to (852) 2515 3198.

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sponsorappl.doc
Microsoft Word format

sponsorappl.pdf
Adobe Acrobat format

Last update 04/2006

The College of Surgeons of Hong Kong