FF2 HONG KONG COLLEGE OF RADIOLOGISTS APPLICATION FOR REDUCED

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5 LIST OF COLLEGES AFFILIATED WITH THE

Received the following documents from Dr

FF-2

HONG KONG COLLEGE OF RADIOLOGISTS

Application for Reduced Subscription

To: Honorary Treasurer, Hong Kong College of Radiologists


I hereby write to apply for the reduced subscription with Hong Kong College of Radiologists (HKCR) under the following clause:


(Please read the conditions below which applied to the application for reduced subscription.)

Retired Fellows (Have reached the age of 55 and retired from remunerative radiological practice)


Fellows with financial hardship


Have you applied for reduced subscription before? Yes No

If Yes, please state the date of previous application. ____________________________

Has your application been rejected before? Yes No

If Yes, please state the date of rejected application. _____________________________


I have read and agreed with the regulations governing application of reduced subscription of the HKCR in the box at the bottom of this page. Below are my personal/contact details:


Given Name:


Family Name:


Date of Birth:

(day/month/year)

Address:






Email:


Tel. No.:


Fax No.:






Signature of applicant


Date


Completed Application Form should be sent to “Hong Kong College of Radiologists, Room 909, 9th Floor, Hong Kong Academy of Medicine Jockey Club Building, 99 Wong Chuk Hang Road, Aberdeen, Hong Kong”.


Conditions applied:

  1. Applications for reduced subscription will be considered only upon submission of completed Application Form for Reduced Subscription. Applications for reduced subscription shall be at the discretion of the Council of HKCR.

  2. All applications for reduced subscription can only be made when the applicant is expecting to reach the required age in the coming / current subscription year*. All reduced subscription will be effective from the coming/ current subscription year after approval of application.

  3. For application of reduced subscription due to financial hardship, supporting documents should be submitted with the application form.

  4. All subscriptions will be subject to a surcharge if settled after 31st March of the subscription year. Please refer to the schedule in collecting subscriptions and handling outstanding subscriptions for details.

  5. Any amendments in fee and subscription can be made according to the Constitution and By-laws without prior notification of those affected.

  6. All payments are non-refundable.


*Subscription Year is counted as calendar year from 1st January to 31st December.



Version as of Oct 2013


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