Registration form DS 2007 for the web

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PERSONAL INFORMATION Please type or print in BLOCK LETTERS and √ where appropriate Title: Prof. Dr. Mr. Mrs. Ms. First name:_____________________________ Surname: ______________________________ Institution / Department:___________________ Mailing Address: ________________________ ______________________________________ Tel: ______________ Fax: ________________ Email: _________________________________ REGISTRATION FEE (excluding luncheon symposium)* PAYMENT DECLARATION I enclose a cheque / bank draft of HK$ ____________ payable to “THE CHINESE UNIVERSITY OF HONG KONG” Cheque details: No. ___________________________ Bank: ______________________________________ Signature: ____________ Date: ________________ For registration, please complete the form and appropriate payment to Conference Secretariat 4th CUHK Dermatology Symposium (Attn: Mr. Anthony Lee) Department of Medicine & Therapeutics The Chinese University of Hong Kong Prince of Wales Hospital, Shatin, N. T., Hong Kong Tel : (852) 2632 3307 Fax : (852) 2637 3852 E-mail : anthonylee@cuhk.edu.hk Website : http://www.mect.cuhk.edu.hk/ dermatology/index.htm REGISTRATION FORM SYMPOSIUM INFORMATION EXHIBITION A medical-related exhibition will be held in conjunction with the Symposium. Companies or organizations wishing to take part in this exhibition are welcome to contact the Conference Secretariat. LANGUAGE The official language of the meeting will be English. There will be no simultaneous translation. DISCLAIMER Whilst every attempt has been made to ensure that all aspects of the conference announced will take place as scheduled, the Organizing Committee reserves the right to make changes at any time should the need arises. IMPORTANT NOTES Registration forms received without registration fees will not be processed. Cancellation Policy : 50% refund if written cancellation is received before 15 October 2007. Payment Method: HK Dollars cheque / bank-draft, marked payable to “The Chinese University of Hong Kong”. Visa / Master card payment is not accepted. Participants Entitlements : attend all conferences sessions, trade exhibition, lunch, coffee breaks, programme book. Certificate of attendance will be issued upon registration on 28 October 2007. No photography, recording or video taping is allowed without permission from the organizer. * An additional HK$ 200 for luncheon symposium registration

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Address Label 4th CUHK DERMATOLOGY SYMPOSIUM Jointly organized by Dermatology Research Centre, Department of Medicine & Therapeutics, The Chinese University of Hong Kong and Social Hygiene Service, Centre for Health Protection, Department of Health 28 October 2007 (Sunday) Shaw Auditorium Postgraduate Education Centre Prince of Wales Hospital The Chinese University of Hong Kong

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28 October 2007 (Sunday) 08:30 – 16:45 Shaw Auditorium Postgraduate Education Centre Prince of Wales Hospital Shatin, N.T. Hong Kong Advisors: Prof. FOK Tai Fai Prof. Joseph JY SUNG Dr. LO Kuen Kong Dr. CHONG Lai Yin Members: Prof. Ellis KL HON Dr. LEUNG Chi Yan Dr. LUK Nai Ming Dr. William YM TANG Moderators: Prof. Ellis KL HON Dr. LEUNG Chi Yan Dr. LO Kuen Kong Dr. William YM TANG Speakers: Prof. Andrew BURD Prof. Thomas YK CHAN Dr. CHONG Lai Yin Dr. William KK FUNG Dr. Henry HF HO Dr. Stanley CK HO Prof. Christopher WK LAM Prof. Diana LEE / Prof. Irene WONG Dr. LEE Tze Yeun / Dr. Henry HL CHAN Dr. David CK LUK / Dr VK SUGUNAN Dr. NG Kwok Po Ms. Teresa MS NGAN ORGANIZINIG COMMITTEE AND SPEAKERS VENUE DATE AND TIME 4th CUHK DERMATOLOGY SYMPOSIUM DRC Welcome message 2007 Welcome to the fourth CUHK Dermatology Symposium. This symposium, under the auspices of the Department of Medicine and Therapeutics and the Department of paediatrics of the Chinese University of Hong Kong and with the most enthusiastic supports from our colleagues at the Social Hygiene Service, Centre of Health Protection and the Department of Health, is being held consecutively for the fourth year. A group of local dermatologists and physicians with a special interest in the various aspects of dermatology convened in 2004 to develop the First CUHK Dermatology Symposium. The objectives of the symposium are to provide a platform of exchange between dermatologists and other subspecialty specialists and to upgrade general practitioners and paramedics about dermatology management. The three preceding symposiums were indeed met with warm supports and were tremendous successes, and we are convinced that there is an ongoing need for organizing such educational activity. The Organizing Committee has prepared a scientific programme with updates that covers common but important topics relevant to our areas of interest. The topics will be discussed by experience local experts. The advanced programme is detailed herewith. The targets of the CUHK Dermatology Symposium are general physicians, paediatricans, family doctors, nurses, and other health care personnel who will encounter and manage skin conditions in their daily practice. We hope to give you enough tools to face the most contemporary adult and paediatric skin disorders, which are one of the commonest health problems in Hong Kong and worldwide as major causes of morbidity, misery and impaired quality of life. It is a great privilege for us to welcome you to the Symposium for what we know will be a valuable and enjoyable programme. Cordially, CHUK Dermatology Symposium Organizing Committee

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PROVISIONAL SCIENTIFIC PROGRAMME ACADEMIC ACCREDITATIONS Delegates joining all conference sessions will be accredited Continuing Education (CME), Continuing Nursing Education (CNE), and Continuing Professional Development (CPD) points from the following academic institutes.