Online Registration
Personal Particulars
Title *
Please select Prof. Dr. Mr. Ms. Mrs.
Last name *
First name *
Hong Kong Pharmacist Registration Number
Company / Hospital Name *
Job title
Department
Address 1 *
Address 2
Country / Region *
Please select Afganistan Albania Algeria Argentina Armenia Australia Austria Azerbaijan Bahamas Bangladesh Belarus Belgium Bermuda Bhutan Bolivia Bosnia & Herzegovina Brazil Brunei Bulgaria Burundi Cambodia Cameroon Canada Central African Republic Chile China Christmas Island Colombia Comoros Congo Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Dominica East Timor Egypt Estonia Ethiopia Fiji Finland France Gambia Georgia Germany Ghana Great Britain Greece Guam Guinea Guyana Haiti Hawaii Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Korea North Korea South Kuwait Kyrgyzstan Laos Latvia Lebanon Liberia Libya Lithuania Luxembourg Macau Macedonia Madagascar Malaysia Maldives Mali Malta Mauritius Mexico Monaco Mongolia Morocco Mozambique Myanmar Nepal Netherlands New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Panama Papua New Guinea Paraguay Peru Phillipines Poland Portugal Qatar Republic of Serbia Romania Russia Saipan Samoa Saudi Arabia Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Sweden Switzerland Taiwan Tanzania Thailand Tonga Tunisia Turkey Ukraine United Arab Erimates United Kingdom United States of America Uraguay Vatican City State Venezuela Vietnam Yemen Zaire Zambia Zimbabwe
Telephone *
Country code
Area
Number
Fax
Email address *
Working Sector *
Please select Community Education Government Hospital Industry Student Others
Registration Fee
Member Type *
Please select The Pharmaceutical Society of Hong Kong (PSHK) The Society of Hospital Pharmacists of Hong Kong (SHPHK) The Practising Pharmacists Association of Hong Kong (PPA)
Membership No. *
Affiliation *
Personal data collected will be used solely for processing your registration and administrative matters related to the Hong Kong Pharmacy Conference. If you do not wish to receive emails or registration information about future Hong Kong Pharmacy Conferences, please indicate your preference by ticking the box below:
( * Compulsory field )