國際研討會：早期腦部發育-情緒與溝通

2019 國際研討會：早期腦部發育-情緒與溝通報名申請表
2019 SYmposium on Early Brain Development: Emotion and Communication Online Registration Form

由於登記嘉賓眾多，現在開始的登記將會落入等候名單，如有空缺我們將以電郵方式通知，謝謝。
Due to exceeding number of registration, the on forth registration will go into the waiting list. We will email you should there be vacancy available. Thank you.

姓名 / Name:

閣下在登記時所提供的名字將會印於証書上 / Your full name provided to us during registration will be printed on the certificate.

姓別 / Gender:

男 / Male 女 / Female

稱謂 / Salutation:

先生 / Mr. 女士 / Ms. 教授 / Prof. 博士 / PH.D. 醫生 / Dr.

機構 / Organization:

職銜 / Title:

電子郵箱 / E-mail:

聯絡電話 / Contact Telephone:

本人謹此確認完全明白並同意在本登記網頁所提供的資料會被何鴻燊博士醫療拓展基金會（"基金會"）或獲其授權的服務提供者作記錄儲存、處理和分析以配合基金會及其活動的需要，而當中的個人資料有可能會被儲存於實際上位於澳門特別行政區境外的儲存裝置。
I hereby acknowledge that I fully understand and agree that the information provided on these registration pages will be used for record, processing and analysis by the Dr. Stanley Ho Medical Development Foundation ("Foundation") or its authorized service provides for the needs of the Foundation and its activities. The personal information may be stored on storage devices physically located outside the Macau SAR.