Application for HKSITN Membership
The Hong Kong Society of Interventional & Therapeutic Neuroradiology

Important Notes:
(I) Membership Categories:
(1) Senior Members 
(i) A medical practitioner registered or deemed to be registered under the Medical Registration Ordinance (Cap.161); and 
(ii) A specialist in radiology, a specialist in neurosurgery, or a specialist in neurology who is actively engaged in the practice of interventional and therapeutic neuroradiology; and 
(iii) has performed at least 50 interventional and therapeutic neuroradiology procedures cumulatively up to the date of his application and 
(iv) is a fellow of the Hong Kong Academy of Medicine 

(2) Ordinary Members: 
(i) A medical practitioner registered or deemed to be registered under the Medical Registration Ordinance (Cap.161); and 
(ii) practicing radiology, neurosurgery, or neurology, who is actively engaged in the practice of interventional and therapeutic neuroradiology; and 
(iii) is a fellow of the Hong Kong Academy of Medicine, or a member or fellow of the Hong Kong College of Radiologists, or a member or fellow of the College of Surgeons in the subspecialty of Neurosurgery, or a member or fellow of the Hong Kong College of Physicians in the subspecialty in Neurology. 

(3) Associate Members 
(i) a medical doctor registered in Hong Kong, or 
(ii) a nurse registered in Hong Kong, or 
(iii) a radiographer registered in Hong Kong  


(II) Notes for New Application
(1) For Senior and Ordinary membership application, the Proposer and Seconder must be Senior Members of The Society of Interventional and Therapeutic Neuroradiology Ltd 

(2) For Associate membership application, the Proposer and Seconder must be Senior or Ordinary members of The Society of Interventional and Therapeutic Neuroradiology Ltd 

(3) Senior/Ordinary Membership Documentation required:
a. Case log documentation (please send to info@hksitn.org.hk)
   
(4)Annual Subscription Fee:
Senior Member: HK$300 
Ordinary Member: HK$200 
Associate Member: HK$100  
(You will be notified to pay for the membership fees once your membership application has been endorsed.)


For enquiries, please contact info@hksitn.org.hk
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Email *
Title *
Surname (English) *
First name (English) *
Middle Name (English)
Chinese Name (if applicable)
Phone Number for Contact *
Sex *
Membership Type *
Specialty *
Current Professional Status *
Basic Professional Qualification (e.g. Bachelor of Medicine / Nursing / Radiography Degree)
 *
Institution (for Basic Professional Qualification)
 *
Year Obtained (for Basic Professional Qualification)
 *
Post-graduate Professional Qualifications (Qualification, Institution, Year Obtained) 
 *
(Please input "N/A" if not applicable)
Other Professional Qualifications (Qualification, Institution, Year Obtained) 
Type of Practice *
Institution / Place of Practice *
Department
Position / Occupation
Address for Correspondence *
Area of Interest (May choose more than 1)
Proposer *
Email address of Proposer *
Contact Number of Proposer *
Institution/ Affiliation of Proposer *
Seconder *
Email address of Seconder
 *
Contact Number of Seconder
 *
Institution/ Affiliation of Seconder
 *
Personal Information Collection Statement 
1. The information provided by me will be used for purposes relating to the application for membership registration. 
2. The Hong Kong Society of Interventional and Therapeutic Neuroradiology Ltd. may give all or some of the information to other parties authorized by law to receive it. 
3. Subject to exemptions under the Personal Data (Privacy) Ordinance, I have a right of access and correction with respect to personal data. 
4. The Hong Kong Society of Interventional and Therapeutic Neuroradiology Ltd. shall use the personal data provided by means of this form for processing of my application and to facilitate communication between the Hong Kong Society of Interventional and Therapeutic Neuroradiology Ltd and myself. 
5. I hereby consent to the release of my personal correspondence with the Hong Kong Society of Interventional and Therapeutic Neuroradiology Ltd to other Interventional Neuroradiology related bodies.
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