ICSM 2023 Registration Please enable JavaScript in your browser to complete this form.Title *ProfDrMrMsMissName *e.g. CHAN Tai ManDepartment *e.g. Department of MedicineInstitution / Hospital *e.g. University of Hong KongPostal address *Postal address to receive official receipt for registration.Email *EmailConfirm EmailWill you submit an abstract ? *Yes, I willYes, already submitted and I am the presenting authorNo, I will not* Registration fee will be waived for abstract presenter Registration Fee for Abstract Presenter *Complimentary - Abstract presenting authorPlease check this boxPhone *Registration Fee *$300 - Non-ICSM member$50 - HKU Undergraduate StudentsComplimentary - Members of ICSMComplimentary - Staff / Student of HKU Pharmacology & PharmacyComplimentary - Member of IVM, CUHKComplimentary - Staff of HKU-SZHDeclaration *I declare that I am a member of ICSMI declare that I am a staff of HKU Department of Pharmacology & PharmacyI declare that I am a student of HKU Department of Pharmacology & PharmacyI declare that I am a member of IVM, CUHKI declare that I am a staff of HKU-Zhenzhen HopsitalPayment methodsby Hong Kong Fast Payment System (FPS) bank transfer to Talent Consultants (FPS ID 105366041)HSBC PayMe mobile apps. Please indicate your registration number in the "Description" when making the payment.by cheque payable to "Talent Consultants" and send to 22/F, 3 Lockhart Road, Wanchai, Hong KongRegistration fee is inclusive of lunch box, please indicate below whether you would take lunch *YesNoI require an invitation letter for visa purpose. *YesNoSubmit
