Professional Diploma Programme in Occupational and Environmental Medicine 2025-2026 Intake Application Form (OEM)

Applications will be processed only upon receipt of the completed application form, supporting documents and application fee.

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.