Membership Application Form (New & Renew)
You are welcome to join the Hong Kong Infection Control Nurses' Association.
*Only being the Ordinary Member, you can have the voting right in AGM.
* For Retired Member, at least THREE years of active membership immediately before applying for this membership and a written proof of retirement by employer are required.
Name (Surname first e.g1. Chan Tai Man Paul, please put down Chan Tai Man Paul e.g2. Susan Smith, please put down Smith Susan)
Your answer
HKID (First 4 digits with the first English syllable e.g. A123456(7). Please put down A1234)
Your answer
Sex
Hospital / Institution
Your answer
Department / Unit
Your answer
Rank
Your answer
Application for membership
Membership
Email (Personal Email, not the HA Email)
Your answer
Personal Mobile Phone No.
Your answer
Fee
Remark:
Your registration as a member is considered to be valid until you had deposit the exact amount into HKICNA Hang Seng Bank Account: 291-224251-001 and email the deposit slip to: hkicna.hkicna@gmail.com ** Remember to put 1. your name, 2. hospital and 3. phone on the deposit slip.**
* No amendment after submission. If you really want to make amendment, you may start a new submission.
Disclaimer:
This Email may contain privileged and confidential information and is solely for the use of the intended recipient. If you are not the intended recipient, you must not print, copy, distribute or take any action in reliance on it. If you have received this Email by mistake, please notify the sender and then delete this Email from your computer. HKICNA does not accept liability arising from Email transmitted by mistake.

Although this Email and any attachments are believed to be free of virus or other defects that might affect any computer system into which it is received and opened, it is the responsibility of the recipient to ensure that it is virus free, and no responsibility is accepted by HKICNA for any loss or damage in any way arising from its use.

All views or opinions expressed in this Email and its attachments are those of the sender and do not necessarily reflect the views and opinions of HKICNA.

Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms