Alumni Contact Update Form

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Personal Information

Surname* (e.g. CHAN) *

Given Name* (e.g. Tai Man) *

Christian Name (e.g. John)

Year of Graduation *

Programme (Please specify your Degree) *

Year of Fellowship

Email *

Contact Phone No.

Corresponding Address Line 1

Corresponding Address Line 2

Corresponding Address Line 3

Do you wish to receive news from the Department of Surgery?

Yes, I wish to receive BOTH e-copy and hardcopy.

Yes, I wish to receive e-copy ONLY.

Yes, I wish to receive hardcopy ONLY.

No, I do not wish to receive any news.

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Personal Information Collection Statement

Personal Information Collection
Department of Surgery, School of Clinical Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong treats the data provided by you as strictly confidential. The data will only be used for administration and communication purposes conducted by the Department, Faculty and the University, e.g. newsletters, activities, giving initiatives, courses and programmes of the Department, Faculty and the University. We will not disclose any personal information to external bodies unless we have obtained your approval or as required by law. If you do not wish to receive emails from the Department and/or Faculty in future, please let us know at surgery@hku.hk.

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