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Personal Details

Title *

First name *

Last name *

Job title

Department *

Organization *

Address *

Address (line 2)

Country *

Telephone *

Country

-

Area

-

Number

Fax

Country

-

Area

-

Number

Email address *

Hong Kong Dental Council Number

HKDA Member Number


  Early Bird
(on or before 31 May 2018)
Standard
(1 Jun - 13 Aug 2018)
Congress Registration:
Dentist
Dental Office Personnel
Dental Surgery Assistant
Dental Hygienist
Dental Technician
Dental Therapist
Dental Student (Full-time Postgraduate / Undergraduate) *
Registered Nurse
Trade & Industry Representative
Accompanying Person (Joining with fully paid participants who registered as Dentist only)
  Number of Accompanying Person:
One Day Lecture Only
Social Event
Gala Dinner (HKDA member only)
Gala Dinner (Non-HKDA member)
* Proof of status is required by uploading the .doc / .pdf / .jpg / .png / .tiff file to the system


Workshop Registration

Workshop Early Bird
(on or before 31 May 2018)
Standard
(1 Jun - 13 Aug 2018)
Workshop 1: Periodontal Diagnosis in Clinical Setting in light of the New International Classification of Periodontal and Peri-implant Disease
(Perio Experts from the Hong Kong Society of Periodontology and Implant Dentistry)
09:00-12:45,
25 August 2018 (Sat)
Workshop 2: Local Anaesthesia Update: Anatomical Impediments to Success and Alternative Techniques
(Dr. Alan Reid, Australia)
14:15-18:00,
25 August 2018 (Sat)
Workshop 3: Advance in Comprehensive Digital Technologies in Implant Therapy - From 3D Face Hunting to Crown and Full Mouth Therapy
(Dr. Raymond Chow, Hong Kong, Dr. Marco Heidel, Germany and Dr. Richie Yeung, Hong Kong)
09:00-17:15,
26 August 2018 (Sun)


Hotel Reservation

Hotel Reservation One Night Deposit#
(per room per night)
 
HK$ 990.00 / US$ 130.00
HK$ 1,540.00 / US$ 200.00
HK$ 770.00 / US$ 100.00

Payment

Currency *


( * Compulsory field )

Data Protection
All the information provided in this form will be used by the Hong Kong Dental Association (HKDA) and may be transferred to authorized parties involving personnel, agents, advisers, auditors, contractors, sponsors and service providers for the purposes of processing the registration, making reservation of rooms, granting CME/ CPD points for attending the events/ courses and handling relevant matters relating to the HKIDEAS 2018. You are required to supply the data in order to make the registration and reservation. Failure to provide the information may render your registration unsuccessful or delayed. You have the right to request access to and make correction of your personal data held by HKDA. You should make your data access request to HKDA by email at hkideas@hkda.org or by fax at (852) 2529 0755 or by mail to 8/F, Duke of Windsor Social Service Building, 15 Hennessy Road, Wan Chai, Hong Kong.