Section A: Personal Information
Please complete the following information in English. Fields marked with an asterisk(*) are mandatory.

Title *
First Name *
Last Name*
Job Title or Position
Organisation*
Address *
City *
State / Province
ZIP / Postal Code
Country / Region *
Email Address *
Re-type Email Address *
Contact Phone
Fax

Section B: Registration Information (Early Bird Registration by 10 May 2019)

Remarks:

  1. All fees shown in the table are in US Dollar (USD). The transaction will be settled in the local currency, i.e. Hong Kong Dollar (HKD). The exchange rate is fixed at 1 USD = 7.8 HKD.
  2. All dates/times are in Hong Kong Time (GMT+8h).
  3. For payment options other than credit card, please send email to isdh2019@cuhk.edu.hk / abstract@isdh2019.org for enquiry.
  4. Please select your registration below. You are recommended to choose a package, if appropriate, as total fee for certain combination of Symposium Day Registration and Workshop may be more than that for a package.

Package Early Bird
(USD)
(On or Before 10 May
2019 11:59 PM HKT)
Regular
(USD)
(After 10 May 2019) 		Please Select
Full Symposium + Workshop
(29 May-2 June 2019)		 700 820
Full Symposium
(29-30 May 2019 & 1-2 June 2019) 		500 620
Symposium 1 -
Digital Health in Medicine
(29-30 May 2019)		 300 420
Symposium 2 -
Digital Health in Engineering
(1-2 June 2019)		 240 300
Symposium Day Registration 180 / Day 240 / Day


Workshop ONLY
(31 May 2019)
(Limited to 35 Participants)		 400
Total Payment Amount: 0  USD

Promotion Code

* Discount is based on regular registration fee.

1. Do you need an invitation letter for visa application? (Note: Soft copy of invitation letter will be issued and sent to the email address filled in Section A.)

2. Emergency Contact Person (Note: You are recommended to provide this information.)

Name:
Contact Tel: (country code + area code + phone number)
Email Address: