APCFT 2024 - Registration (Local)

Asia Pacific Conference in Fetal Therapy (APCFT) 2024
Date: 17 - 18 August 2024
Venue: Henry Cheng International Conference Centre, 1-2/F, Cheng Yu Tung Building, The Chinese University of Hong Kong
Registration:

*Main Conference (supported by Government PASS Scheme)*
Date: 17-18 Aug 2024 (Sat-Sun)
Cheque Deposit HK$1,000
(To secure your place in the conference, kindly make a deposit of $1000 by cheque.
Rest assured that the deposit will be returned to you upon confirming your attendance after the event. Please be aware that the fee will not be refunded in case of a no-show.)

*Post-conference Hands-on Workshop* [Highly limited quota]
Date: 19 August 2024 (Mon)
Time: 09:00 - 13:00
Fee: HK$1000
Workshop application is only opened for main conference participants

Title *

Title Prof. Dr. Mr. Mrs. Ms. Miss
Name Name * First Last
Email *
Contact Number *
Department / Unit *

Department / Unit Obstetrics and Gynaecology Paediatrics Pathology A&E Other Other
Position *

Position General Obstetrician Fetal Medicine Specialist Paediatrician Laboratory Technician Midwife Registered Nurse Radiologist Sonographer Other Other
Organization / Hospital (e.g. CUHK, PWH, Private) *
Where do you come from? *
How did you hear about our conference?

How did you hear about our conference? Internet Direct Email Advertisement Referred by Previous Delegate Other Other
Main Conference
Register item *

Register item I would like to attend the main conference
Cheque Deposit information

1. Provide the cheque no. and bank of cheque below
2. make a cheque payable to "The Chinese University of Hong Kong"
3. The issue date of the cheque must be on or after 1st April 2024
4. Write down your name and register item(s) at the back of the cheque
5. Post the cheque to the Department of Obstetrics and Gynaecology, 1/F, Special Block E, Prince of Wales Hospital, 30 Ngan Shing Street, Shatin (Attn: Ms Jasmine Lee)
Cheque no. (deposit for main conference) *
Bank of cheque (deposit for main conference) *
Address for cheque return after the conference *
Post-conference Workshop
Post-conference Hands-on Workshop HK$1,000
application is only opened for main conference participants
Payment details

For post-conference workshop registration fee. (No refund)
Payment made by cheque

If the registration fee is settled by cheque, please
1. Provide the cheque no. and bank of cheque below
2. make a cheque payable to "The Chinese University of Hong Kong"
3. Write down your name and register item(s) at the back of the cheque
4. post the cheque to the Department of Obstetrics and Gynaecology, 1/F, Special Block E, Prince of Wales Hospital, 30 Ngan Shing Street, Shatin (Attn: Ms Jasmine Lee)
Cheque no. (payment for workshop)
Bank of cheque (payment for workshop)
Declaration

I agree the above personal data provided to Department of Obstetrics and Gynaecology at the Chinese University of Hong Kong (the University) would be updated in the database maintained by the University and used for the University contact and promotion of the latest news (including any events and functions to be held, courses to be organized, solicitation of donations, benefit and service offers, and other alumni affairs related activities).
I agree to the above terms as listed in the declaration *

I agree to the above terms as listed in the declaration Yes No
Acknowledgment of Support and Disclaimer:

Any opinions, findings, conclusions or recommendations expressed in this material/any event organised under this project do not reflect the views of the Government of the Hong Kong Special Administrative Region or the Vetting Committee of the Professional Services Advancement Support Scheme. This material / event is funded by the Professional Services Advancement Support Scheme of the Government of the Hong Kong Special Administrative Region.
Enquiry

Conference Secretariat | 3505 2580 | cuogevents@cuhk.edu.hk
Department of Obstetrics and Gynaecology
1/F, Block E, Prince of Wales Hospital, Shatin
https://www.obg.cuhk.edu.hk/apcft/asia-pacific-conferecne-in-fetal-therapy-2024/
Disclaimer The personal data collected will be used by Department of Obstetrics and Gynaecology (OBG) and authorised personnel for processing the captioned purposes in accordance with relevant provisions of the Personal Data (Privacy) Ordinance.

APCFT 2024 - Registration (Local)

Main Conference

Cheque Deposit information

Post-conference Workshop

Payment details

Payment made by cheque

Declaration

Acknowledgment of Support and Disclaimer:

Enquiry