Membership Application ⇽ Member | Hong Kong Life Sciences Society on Glue Up

Glue Up account creation information.

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Personal Particulars

Name in Chinese

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Preferred English Name

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First Name *

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Last Name *

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Email *

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Secondary E-mail

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Sex

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Phone *

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WhatsApp Number

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Date of Birth

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Nationality

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Permanent HK Resident

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Correspondence Address *

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Country *

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Education

Highest Education Level *:

Test Group

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(Starting with the most recent)

Name of Institution *:

Test Group

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Please enter a program (e.g. bachelor of science)

Program (e.g. Bachelor of Science) *

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Please enter a major (e.g. biomedical sciences)

Major (e.g. Biomedical Sciences) *

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(Expected) Year of Graduation *

Name of Institution (2):

Test Group

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Program (2) (e.g. Bachelor of Science)

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Major (2) (e.g. Biomedical Sciences)

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Year of Graduation (2)

Working Experience

Name of Company

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Position

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Employment Type

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Start Date

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End Date

Office Use

Marketing

Direct Marketing

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HKLSS member

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Cantonese

Remarks

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Personal Particulars

Title

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Phone No. (Internal)

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First Name (Internal)

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Last Name (Internal)

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Correspondence Address (Internal)

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Country (Internal)

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Program

Summer Internship Program

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Mentorship Scheme

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Scholarship Awardee

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Mentor/ Partner

Position in HKLSS

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Mentor

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Partner

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PA/ Sect/ Contact Pt

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PA/ Sect/ Contact Pt Email

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PA/ Sect/ Contact Pt Tel. no

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Contract End Date

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