Registration


* Mandatory Field
Particulars of Delegate
Title: *
Gender:*
Surname:* 
Given name:* 
Position:*  
Department:* 
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Correspondence address:* 
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Registration Details
Category Early Bird Rate
(on or before 31 March 2018) 		Normal Rate
(after 31 March 2018)
Medical Practitioners Para-medics / Trainees Medical Practitioners Para-medics / Trainees
Full Registration
(19-20 May 2018) 		HK$500 HK$300 HK$1000 HK$600
Day Registration
19 May 2018
 HK$300 HK$200 HK$600 HK$400
20 May 2018
 HK$300 HK$200 HK$600 HK$400
Lunch on 19-20 May 2018 Lunch box will be provided at the conference on 19 and 20 May 2018. There is NO pre-registration for lunch. It will be served on site on a first-come-first-served basis.
Total: HK$ 0

To be filled out by Medical Trainee/Para-medic Participant
Training/Para-medical Organisation:  
Address (if different from the above):  
Name of Supervisor:  
Position:  
Important Notes
1. Registration forms received without payment will not be processed.
2. Cancellation Policy
All cancellation must be made in writing to the Conference Secretariat. Refund will be made after the Conference. 50% refund if written confirmation is received on or before 15 April 2018. No refund will be made thereafter.
3. Payment Method
By Cheque - Please make a cheque in Hong Kong dollars payable to "The Chinese University of Hong Kong".
By Credit Card - Please fill in the credit card details on the registration form.
4. Participants Entitlements
Full Registration - Attend all conference sessions, trade exhibition, coffee breaks, programme book and certificate of attendance for sessions scheduled for 19-20 May 2018.
Day Registration - Attend conference sessions of the registered day, trade exhibition, coffee break(s) of the registered day, programme book and certificate of attendance of the registered day.
Privacy Policy:
The Department of Medicine & Therapeutics as a department in The Chinese University of Hong Kong, undertakes likewise as the University does to comply with the requirements of the Personal Data (Privacy) Ordinance. For the University’s policy on personal data, please click http://www.cuhk.edu.hk/policy/pdo/en/.
Disclaimer:
The information you provide will be treated in strict confidence. It will be used by the Department of Medicine & Therapeutics, CUHK (M&T, CUHK) for the purposes of registration and related administration procedures for this conference. To allow us to keep you posted of our events and activities, we may use your contact information for such purpose. If you do not agree to the use of personal information for future communication purposes, please tick the box below. You may choose to stop receiving such information at any time by email to aim@cuhk.edu.hk.

I do not wish to receive any information of future events and activities.
The registration is already over