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/ Mrs. / Miss Please delete as appropriate Name English Surname Other names Name Chinese Hospital Current Rank Specialty Tel. No. HA email address Other email address Vehicle Registration Marks Status with HKCA Please tick as appropriate Fellow Member Non-member Registering for the following Elementary Ultrasound-Guided Regional Anaesthesia Workshops please indicate your priority by using 1 and 2 Date Priority 7 January 2017 Saturday 11 March 2017 Saturday Please return the complete form 3...
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