Please read the general notes before completing the Enrolment Form. Applicant must complete the enrolment form in BLOCK LETTERS
請在填表前注意表格的申請須知,並用正楷填寫表格。
Applicant's Declaration 申請人聲明
I hereby declare that the information I provided in this application form is complete and correct. I have read the general
notes above and agree to abide by the notes mentioned.
本人謹此聲明在此申請表格中所填報之資料均屬正確無訛。本人已閱讀『申請須知』,並完全同意及遵守有關事項。
(If you have any problem submitting your registration using this online form, please email register@ehealth.org.hk or call 6992-2492.)
(如對本申請表格有任何查詢,請電郵 register@ehealth.org.hk 或致電 6992-2492。)
Form last updated on 28 June 2011.
表格於2011年6月28日更新。