Society for the Promotion of Hospice Care
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Information

Personal Information (Please fill in your name as in your CME / CNE / CPD registration)

*Compulsory

  • Given Name (English) *

  • Surname (English) *

  • Gender *

    Title *

  • Age *

  • Education *

  • Upload Health Worker/Nursing Assistant certificate *

    (Select JPG Image/PDF File or take photo by camera)

Contact Information

*Compulsory

  • Correspondence Address *

  • Telephone No. *

  • Email Address *



Payment Method *

The number of places for this seminar is limited. Elderly people or people living alone will be given priority to attend.

*Compulsory

  • Elderly (age 60 or above) *

  • Living Alone *

Other Information

  • Occupation *

  • Organization

  • Expectation for taking this course

    How do you learn about this event?

  • Profession *

  • Organization

I authorise the Society for the Promotion of Hospice Care (SPHC) to use my personal data for the following purposes:

  1. statistical and research purposes (no personal identifiers such as name, correspondence address and telephone number will be released in the survey results).
  2. delivering to me the announcements of SPHC promotional information related to activities, programmes, and benefits and services. My personal data including name, e-mail address, correspondence address and telephone number may be used for this purpose.