Application Form

ANHSS Hongkong

A Policy Course on Private Sector Engagement for Health System Goals and to Advance Universal Health Coverage
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I declare that the information given in support of this application is accurate and complete, and understand that anymisrepresentation will result in the disqualification of my application for admission.
Payment Information

Account Holder Name : Asia Pacific Network For Health Systems Strengthening Limited
Address : 2/F, School of Public Health Building, 30-32 Ngan Shing Street Prince of Wales Hospital, Shatin, New Territories, Hong Kong
Account Number: 44719019993 (USD SAVINGS A/C)
Bank Name : Standard Chartered Bank (Hong Kong) Limited
Bank Address : Payment Centre, 15/F Standard Chartered Tower388 Kwun Tong Road, Hong Kong
Swift Code: SCBLHKHHXXX

Remarks:
• The registration fee, once paid, is non-refundable or non-transferable.
• Acceptance of application is subject to availability.
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ANHSS Hongkong