DSOBA Medical & Healthcare Chapter 2019 Dinner with DOGA
Registration form for DGS alumnae who are medical & healthcare professionals and undergraduates

Registration period: 14 November 2018 - 14 December 2018

Registration on first-come-first-served basis, with priority given to DOGA members.

Thursday, 17 January 2019
Reception 7:00pm, Dinner 7:30pm
Sir Run Run Shaw Hall, Hong Kong Academy of Medicine, Wong Chuk Hang Road, Hong Kong
Dinner ticket:
$300 for member of DOGA, medical & healthcare undergraduate
$650 for member of DOGA, medical & healthcare professional
$750 for non-member of DOGA, medical & healthcare professional

Payment by cheque, payable to Diocesan School Old Boys' Association Limited, with the name of alumna stated at the back of the cheque. Please send the cheque to DOGA Ltd, c/o Diocesan Girls' School 1 Jordan Road, Jordan, Kowloon.

We will only process your registration upon receiving your cheque.

Last name *
Your answer
First name *
Your answer
DGS class year (HKCEE F5 or NSS S6) *
Your answer
Are you a DOGA member? *
DOGA membership number
Your answer
Are you a medical & healthcare professional or undergraduate? *
For medical & healthcare professional, please state your profession and specialty (if applicable) (e.g. doctor, surgery)
Your answer
For undergraduate, please state your university, programme and year of study (e.g. HKU, MBBS, Year 1).
Your answer
Mobile number *
Your answer
Email *
Your answer
Please state your cheque number and bank name. *
Your answer
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