Hospital Authority Retired Present Position Held / Private University / College Note / /
Organization
Dental Council / Medical Council / Passing College / Department of Health Others / Rev HONG KONG ACADEMY OF MEDICINE PERSONAL RECORD OF NOMINEE PERSONAL DATA Name / Medical Council of Hong Kong / Dental Council of Hong Kong / FULL / Private University / HONG KONG ACADEMY OF MEDICINE NOMINATION FOR FELLOWSHIP College / /
HONG KONG ACADEMY OF MEDICINE NOMINATION FOR FELLOWSHIP College of____________________________ Specialty: ____________________________ Personal Particulars