Short Courses in Epidemiology and Biostatistics, AY 2023-24

Title: *

Title: Prof. Dr. Mr. Ms
Name: Name: * First Last
Chinese Name: *
Sex:

Sex: Female Male
HKID Card No.: / Other Identification Documents: *
Correspondence Address: Correspondence Address: *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country/Region
Mobile Number: *
Email: *
Academic Qualifications:
Institution, Date of Attendance (From/To), Major/Minor, Diploma/Degree *
Professional Qualifications (Awarding Body and Year Obtained): *
Working Experience (Please indicate your latest job)
Institution, Position and Years in the Position: *
Certificate of academic: / professional qualifications: *

Attach Files
Other Supporting Documents:

Attach Files
Term 1 (September - December 2023):

Term 1 (September - December 2023): BIOS5001 Introduction to Biostatistics | $15,600 BIOS5005 Clinical Trials | $7,800 EPID5001 Introduction to Epidemiology | $15,600
Term 2 (January - March 2024):

Term 2 (January - March 2024): BIOS5002 Linear Models | $10,400 BIOS5003 Categorical and Survival Data Analysis | $15,600 BIOS5007 Pharmaceutical Statistics Computing in SAS | $10,400 EPID5002 Epidemiology II | $10,400 EPID6002 Selected Topics in Epidemiology | $7,800
Term 3 (April - June 2024):

Term 3 (April - June 2024): BIOS6001 Topics in Linear Models | $10,400 BIOS6005 Pharmaceutical Bioinformatics | $5,200 BIOS6006 Artificial Intelligence Methods for Medical Research and Pharmaceutical Science | $10,400 EPID5003 Epidemiology III | $15,600 EPID6001 Appraisal of the Methods of Epidemiological Studies | $10,400 EPID6005 Digital Epidemiology | $10,400 EPID6006 Advanced Infectious Disease Epidemiology | $10,400
Please select either one of the below: *

Please select either one of the below: Certificate of Completion (Students are required to obtain a ‘satisfactory pass’ in the assessment for the specified module(s), with 75% attendance or above) Certificate of Attendance (Students who attended at least 75% of the lectures, seminars, tutorials, and practical sessions but did not take the assessment)
Declaration:

1. I hereby declare that the information provided in this form and relevant documents attached are correct to the best of my knowledge.

2. The Application fee by crossed CHEQUE made payable to "The Chinese University of Hong Kong" would be sent IN A WEEK to Room 202, 2/F, School of Public Health Building, Prince of Wales Hospital, Shatin, N.T. (Short Course in Epidemiology and Biostatistics)

3. I understand that the Application fee (HK$100), once paid, is not refundable.

4. I understand that the Programme fee, once paid, is not refundable.
I agree to the above terms as listed in the declaration.: *

I agree to the above terms as listed in the declaration.: Yes No
Signature: *

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Disclaimer The personal data collected will be used by School of Public Health - Master of Science in Epidemiology and Biostatistics Programme (SPH__MSEBP) and authorised personnel for processing the captioned purposes in accordance with relevant provisions of the Personal Data (Privacy) Ordinance.

Short Courses in Epidemiology and Biostatistics, AY 2023-24

Declaration: