First Name (required)* |
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Last Name (required)* |
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中文姓名 |
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Email (required)* |
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Membership type (required)* |
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Gender (required)* |
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Mobile phone no. (required)* |
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Institution / Hospital (required)* |
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Position / Job title (required)* |
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HK Nursing Council Registered / Enrolled number (required)* |
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Name of the Hospice / Palliative Nursing Specialty course and year of attainment (Ordinary Member only) |
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Remark |
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Captcha* |
2 × 3 = ?
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