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Membership Enrollment / Renewal Form
*Mandatory
* Membership Subscription:
New Register
Renewal
Membership No. (For renewal only) :
Full member ($500)
Life member ($5000)
Associate member ($500)
Honorary member (subject to invitation)
Student Affiliate ($80, please upload student card copy )
Student Affiliate (Group subscription scheme (subject to invitation); please upload student card copy)
Personal Details:
* Full name (English: SURNAME, Given name ) :
(Same as the registration name under Physiotherapists Board)
Full name (Chinese) :
(Same as the registration name under Physiotherapists Board)
* Gender :
-- Please Select --
Male
Female
* Registration Number:
(from Physiotherapists Board or Student number for Student affiliate members)
* Contact Number:
* Correspondence Address:
(for contact)
* Email :
(for account login and contact)
* Email re-confirm :
* Work Settings
(Select all that are applicable) :
Hospital Authority
Government
Non-government Organisation
Private (Hospital/Clinic/Nursing Home)
Self-Employed
Academic/Education
Freelancer
Other (please specify):
* Name of Institution/Company (if any)
(if not applicable, please fill in ’N/A’)
:
* Working District
(Select all that are applicable):
Hong Kong Island
Kowloon
New Territories
Other (please specify):
* Do you allow your practising information
(including your Name, Working district and Name of institution/company)
could be searched by the public on our website?
(If no, your practising information will not be appeared on our website)
Yes
No
You may also fill in the additional information below. Your additional information
(together with your Name, Name of institution/company and Working district)
will be posted on our website for public view. You are responsible for the accuracy and update of your own practising information.
HKPU is
not liable to the truthfulness of the information provided
.
Working Address
(for public search):
Working telephone
(for public view):
Institution/Company website
(for public view):
Profile photo
(for public view):
Undergraduate
(for public view):
Qualification
Institution
Year of Award
Postgraduate
(for public view):
Qualification
Institution
Year of Award
Experienced Field of Practice
(for public search):
(Select all that are applicable)
Cardiopulmonary
Musculoskeletal
Neurological
Geriatrics
Paediatrics
Sports and exercise science
Occupational Health
Community
Women/Men’s Health
Pain
Mental health
*Upload transaction record
(payment receipt/payment screen capture for mobile/internet banking)
* I declare the above information is correct and I am willing to abide by the Union’s rule.
Yes
No
Notes:
The membership runs from 1st January to 31st December of the same year.
Applicants are requested to deposit appropriate fee to HKPU account at HSBC 600-392-096-001.
Please upload the transaction receipt (with your name and phone number on the receipt OR capture of the payment screen for internet banking) to the ‘Upload transaction record' at the bottom of the online application form for completion.
After the membership fee payment is confirmed, it will take
at least
4 weeks
to proceed with HKPU membership status approval and online account setup.
Membership fee submitted will not be refunded unless the application is not approved.
Members are required to update the Union immediately whenever change of the information has been made.
The Union complies strictly with the Personal Data (Privacy) Ordinance for protecting members’ personal data. All the collected data are only used for the purposes directly related to the Union activities such as disseminating news, training and program information / invitation, as well as for collecting feedback, fundraising appeal, and products / services promotion, etc.
For Enquiry: membership@hkpu.org (Email) or +852 95653294 (Whatsapp)
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