Professional Diploma Programme in Occupational and Environmental Medicine 2027-2028 Intake Application Form (OEM)

Applications will be processed only upon receipt of the completed application form, supporting documents, and application fee. The application fee will be fully refunded if the course cannot operate on the scheduled date and time.

1Personal Information > 2Academic Qualifications > 3Professional Qualifications > 4Working Experience > 5Exemption > 6Supporting Documents > 7Submission > 8Review Your Entry
Title

Title Prof. Dr. Mr. Ms.
Sex

Sex M F
Name (In English) Name (In English) First Last
(e.g. First Name: Tai Man; Last Name: CHAN)
Name (In Chinese)

(e.g. 陳大文)
Date of Birth Date of Birth / DD / MM YYYY
HKID Card No.

(e.g. A1234567)
Address
Tel
Mobile
Fax
Email
Disclaimer The personal data collected will be used by Division of Occupational & Environmental Health, JC School of Public Health and Primary Care and authorised personnel for processing the captioned purposes in accordance with relevant provisions of the Personal Data (Privacy) Ordinance.