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HKMDS 2023 2nd Quarterly Scientific Meeting (10 June 2023) - Registration Form
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* Indicates required question
1. Title
*
Dr
Prof
Mr
Ms
2. First Name
*
Your answer
3. Last Name
*
Your answer
4. Mobile Number with Whatsapp (for event updates if needed)
*
Your answer
5. Email (for event confirmation and updates)
*
Your answer
6. Hospital / Organization Affiliation
*
Your answer
7. Department
*
Your answer
8. Are you a member of the Hong Kong Movement Disorder Society?
*
Yes
No
9. Please state the college you belong (For CME Attendance Record's purpose)
*
Hong Kong College of Physicians
The College of Surgeons of Hong Kong
Hong Kong College of Paediatricians
Other:
10. For participants belong to Hong Kong College of Physicians, please state your identity
*
Fellow
Member
Trainee
I don't belong to Hong Kong College of Physicians
11. For participants DON'T belong Hong Kong College of Physicians, please state your Membership / Fellow number of the college / institution you belong
Your answer
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