香港大學護理學校友會
THE UNIVERSITY OF HONG KONG NURSING ALUMNI ASSOCIATION
Membership Application Form
Salutation
Please select
Prof.
Dr.
Mrs.
Mr.
Ms.
Miss
English Name
中文名
Mobile
Email
Correspondence Address (optional)
Job Title (optional)
Department (optional)
Organisation (optional)
Please list out the programmes that you are studying or studied with the year graduated in HKU by chronological order
1.
Programme Name
Graduated Year
2.
Programme Name
Graduated Year
3.
Programme Name
Graduated Year
Please check this box
to indicate if you are
NOT
willing to disclose your information to School of Nursing, The University of Hong Kong.
For enquiries please email to:
hkunaa@hku.hk
DISCLAIMER: Any personal information collected will ONLY be used for record and communication between HKUNAA and you, in the connection with HKUNAA activities
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