Registration Form - Better Care for Patients with Diabetes and Kidney Disease (Feb- Apr 2021)
Registration Deadline:
Webinar I: 22 February 2021 (Mon) - Registration Closed
Webinar II: 8 March 2021 (Mon)
Webinar III: 22 March 2021 (Mon)
Webinar IV: 6 April 2021 (Tue)
Email address *
Program Rundown
Salutation (Please select as appropriate) *
Last Name (In capital letter) *
E.g. CHAN
First Name *
E.g. Simon Tai Man (Full name is required for CME / CNE accreditation)
Chinese Name
Contact No. *
Hospital/ Institution (if not applicable, please enter N/A) *
Occupation *
Please indicate your profession in the full name (e.g. Registered nurse) instead of providing a short form (RN)
CNE Points Required (for Nurses only) *
CPD Points Required *
Please select the college(s) related to your specialty for CME accreditation (if not applicable, please enter N/A in "Other"). *
Can select more than one options
Required
Please provide your college member no. for CME accreditation (if not applicable, please enter N/A). *
1) MCHK 2) HKMA 3) HKDU 4) HKAM 5) DH 6) CDSHK No.
Please select the lecture(s) you are interested to attend. *
Can select more than one options
Required
Note
1) CME, CNE & CPD accreditation are in application.

2) Zoom video conference will be arranged. For first time user, it is recommended to install Zoom before the webinar.

3) Zoom Personal Link will be provided to participants 2 working days before the webinar. With Zoom Personal Link, no meeting ID or password is required.

4) Participants are recommended to test the provided Zoom Personal Link before each webinar to avoid any technical problems.

5) Participants can submit the questions by using the Zoom Q&A Box function.

6) Participants are required to complete the whole webinar, and Online Evaluation Form for CME/CNE/CPD accreditation.

7) The Online Evaluation Form will be shared with participants after each webinar.

8) E-certificate will be issued to participants within 2 weeks after the webinar.

9) E-certificate will be issued to to nursing participants who have achieved not less than 60% attendance (at least 1 hour).

10) E-certificate will be issued to non-nursing participants who have achieved not less than 70% attendance (at least 70 mins).

10) All the personal information collected will be used for contact purpose of this webinar only.

11) The organizers reserve the right to cancel or re-schedule the webinar due to any unforeseen circumstances. The organizers are not responsible for any cost incurred by the collaborating organizations or the participants, should cancellation or any changes take place after any participants registered for the webinars.
Personal Data Collection Statement
1) The personal data provided by you will be used by the organizers for purposes related to the processing of registration, academic, administrative, and statistical purposes.

2) The personal data (including name, address, email and contact number) provided by you will be used by the organizers for delivering information including any events and functions to be held, courses to be organized and activities related to the organizers. Your Personal Data will not be transferred to any third party.
I have read and agreed to the above statement. *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy