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Online Application for Organ Donation Thematic Seminar

    School/Organization/Company Name: *

    Type of Organization:*

    SchoolNGOGovernment Dept.CorporateOthers

    If you have chosen "Others", please specify the type of organization

    Address: *

    Fax No.:

    Contact person: *

    Subject/Department: *

    Contact number: *

    Email: *

    Form:

    Form 1Form 2Form 3Form 4Form 5Form 6

    No. of Participants:*

    Preferred date 1 (DD/MM/YYYY)*

    Preferred time 1 (Please indicate Start and End time)*

    Preferred date 2 (DD/MM/YYYY)

    Preferred time 2(Please indicate Start and End time)

    *Mandatory Field

    Remark 1: HKOTF will try to accommodate your preferred date and time of the seminar. A confirmation email will be sent shortly after the application is received. Please submit multiple applications if you wish to arrange more than one seminar.

    Remark 2: Your personal data will be kept strictly confidential by Hong Kong Organ Transplant Foundation (HKOTF) and will be used for the purpose of arranging organ donation thematic seminars, compiling statistics, and communicating with you on matters and activities of HKOTF.