Membership Checkout

Membership Information

You have selected the Ordinary membership level.

The price for membership is $550.00 now and then $250.00 per Year.

Account Information

Username

Password

Confirm Password

Email Address

Confirm Email Address

Full Name LEAVE THIS BLANK

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Full Name

English

Chinese

Sex

Date of Birth (optional)

HK ID or Passport No.

Qualifications & year obtained

Council

HK Medical Council

HK Nursing Council

Registration number

ADDRESS

Home

Tel

Fax

Office

Tel

Fax

You prefer MAILING ADDRESS to be

Home

Office

Email Address

Do you prefer to receive news mainly by e-mail?

Yes

Proposer & Seconder

Applicants should name one proposer and one seconder (both of them must be HKPS members) to support their membership application. If it is not possible to obtain the signatures of your proposer and / or seconder, please supply their Email below, and we will contact them for confirmation. Please inform your proposer and seconder before submission

Proposer

Name

Seconder

I do not have a proposer or seconder

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