*Compulsory

Registration Form


Personal particulars:

Title*:
Surname*:
First Name*:
Institution*:
Department:

Postal address:

Address 1*:
Address 2:
Address 3:
Country:

Contact information:

Telephone*:
Mobile:
Fax:
E-Mail*:


Registration Fee: 0 Euro*

Type Local delegates
Overseas delegates
Trainees/Residents#: HKD500 50 Euro
Regular (ILCA members): HKD1500 150 Euro
Regular (non-ILCA member): HKD2500 250 Euro
# An accompanying letter confirming the status from the Supervisor is needed.

Method of payment:*

Bank draft for Euro
Personal cheque for HK$
Credit card (Visa or MasterCard only)


Personal Information Collection Statement:

The information you provide will be used to update the online registration database, and will be kept strictly confidential. The Organizer may use such data for administrative and communication purposes, but will not disclose any personal information you provide to any external bodies or organizations unless you have been informed or it is required to do so by law. For the University's policy on personal data, please visit http://www.cuhk.edu.hk/policy/pdo/en/.

* I have read and agreed with the above "Personal Information Collection Statement"


Registration ID will be sent to the participant by email after completing the on-line registration.

Registration is completed only after we have received payment.
Bank draft / Cheque should be made payable to "The Chinese University of Hong Kong",
please write on the back of the bank draft / cheque your registration ID and name.

Bank draft/ Cheque should be mailed to:

Miss Iris Law
301E, 3/F, Sir YK Pao Centre for Cancer
The Chinese University of Hong Kong
Prince of Wales Hospital, Shatin
Hong Kong SAR, China

If you choose to pay via credit card, please download and fill in the payment form and return it to Miss Iris Law at irislaw@clo.cuhk.edu.hk.

Enquiries:
Email: irislaw@clo.cuhk.edu.hk
Fax: (852) 2648 8842


Cancellation Policy

There will be no refund on cancellation after registration.