Conference Registration Form

The Delegate could be on-site or email to to Registration, thank you!

Part 1: Delegate Details

Fields marked with * are mandatory.

Part 2: Registration Fee

Please indicate your registration type by checking the appropriate box:

Category Fee (Per head, including Conference Dinner)
Doctor HK$1,200 / CNY 1,000
Nurses / Paramedic / Others HK$600
Student HK$200

Part 3: Payment methods

Please tick the appropriate box below to indicate your payment method.

Make payable to "Federation of Medical Societies of Hong Kong".
Please mail the confirmation with your cheque to
The 6th HK-SZ EM Conference 2017 Secretariat,
c/o The Federation of Medical Societies of Hong Kong
4/F Duke of Windsor Social Service Building, 15 Hennessy Road, Wanchai Hong Kong

Part 4: Conference Dinner on 26 May 2017

Will you attend the Conference Dinner on 26 May 2017

  1. The Organizers reserve the right to change the programme without prior notice.
  2. Registration and payment are processed by The 6th HK-SZ EM Conference 2017 Secretariat.
  3. If selected payment method "Cheque", payment should be settled in full within seven (7) working days after the registration has been submitted. Otherwise, the reserved seat(s) will be automatically released.
  4. Payment should be settled via one of the payment methods as specified in Part 3.
  5. Registration will only be processed after full payment has been settled. Partial payment will not be accepted.
  6. All payment settled is non-refundable.
  7. Information provided on this registration form will be used only for the purposes of processing the registration and communicating with the participant on matters relating to the The 6th HK-SZ EM Conference 2017 and/or related event and such usage will conform to the Personal Data (Privacy) Ordinance.