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Hong Kong Society of Periodontology and Implant Dentistry Membership Application Form 2026
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* Indicates required question
Last Name (as shown in HKID/Passport)
*
Your answer
First Name (as shown in HKID/Passport)
*
Your answer
Chinse Name
Your answer
DCHK General Register Number (D0xxxx)
If not applicable, please enter N/A
*
Your answer
Mobile Telephone Number
*
Your answer
Office Telephone number
Your answer
Address for Correspondence
*
Your answer
Email address
*
Your answer
Membership
Life Membership (HKD 6,000)
Ordinary Membership (HKD 600 per year)
Affiliated Membership (for dental auxiliaries) (HKD 200 per year)
Student Membership (HKD 200 per year)
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Bank
*
Your answer
Cheque number
*
Your answer
*
By clicking this checkbox, you DO NOT OBJECT your personal data to be used by Hong Kong Society of Periodontology and Implant Dentistry Ltd. for direct marketing in respect of continuing education programmes organized, co-organized, arranged, coordinated, sponsored or otherwise involved by Hong Kong Society of Periodontology and Implant Dentistry Ltd
Required
Please mail a crossed cheque payable to "
Hong Kong Society of Periodontology and Implant Dentistry Ltd
" and mail to "
Dr. Janet Wong, Suite 501, 5/F, Wing On House, 71 Des Voeux Road Central, Central, Hong Kong
"
.
Please write your "
Full name
" at the back of the cheque.
Please state
"HKSPID Membership Application
" on the envelope
Submit
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