BHJS Medical Alumni Group Registration Form
Title u
English Name *
Your answer
中文姓名 *
Your answer
Mobile Phone *
Your answer
Work Phone
Your answer
Email address *
Your answer
Work address
Your answer
Which year did you graduate from BHJS? *
Your answer
Which form did you graduate from? *
Which institution did you receive your tertiary education?
Your answer
Which of the following best describe your profession? *
Where are you currently practicing? (Please choose all that apply) *
Required
What is your specialty? (if applicable)
Your answer
Consent to join the BHJS Medical Alumni Group? (Membership is free of charge.) *
Consent to join the BHJS Alumni Association? (Membership is free of charge.) *
Consent for MAG Facebook group?
Please choose the types of MAG activities you hope to undertake:
Based on the chosen options from the previous question(s), please elaborate for any ideas you have in mind.
Your answer
Comments
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