Member Information Update Form

Member Information Update Form
Personal Information

Only provide updates to changed information. Your name is required in all cases.
Name (as per Identity Document)*

PrefixFirst NameMiddle NameLast NameSuffix
Name in Chinese
Former Name

First NameMiddle NameLast Name
Former Name in Chinese
Please upload your Deed Poll and HKID if your name has changed

*The proof documents for the changed name are required.
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Correspondence Address

Address 1

Address 2

Address 3State / Province

Postal / Zip CodeCountry
Mobile Number
with country code if outside Hong Kong
Office Phone Number
with country code if outside Hong Kong
Primary Email
example@example.com
Secondary Email
example@example.com
MCHK Number
e.g., M#####, ML#####, MS#####

Job Information

Members/trainees are required to keep the College informed of any changes to their current working status.
Institution
Position
Start Date

DayMonthYear
Date
End Date

DayMonthYear
Date
Institution
Position
Start Date

DayMonthYear
Date
End Date

DayMonthYear
Date
Institution
Position
Start Date

DayMonthYear
Date
End Date

DayMonthYear
Date
Declaration*

1. I declare that the particulars given in this application are true and accurate.2. I declare that I have not been convicted of an offence punishable by imprisonment (in Hong Kong or elsewhere), and that I have not been found guilty of professional misconduct by the Medical Council of Hong Kong, or any similar regulatory authority outside Hong Kong.3. I declare that I have been convicted of an offence punishable by imprisonment (in Hong Kong or elsewhere), and that I have been found guilty of professional misconduct by the Medical Council of Hong Kong, or any similar regulatory authority outside Hong Kong.
Please upload the relevant documents if option 3 above is chosen

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Should be Empty:

Personal Information