Toggle navigation Load unfinished survey Resume later Exit and clear survey default Caution: JavaScript execution is disabled in your browser or for this website. You may not be able to answer all questions in this survey. Please, verify your browser parameters. Short Course: The Role of Chinese Herbal Medicines During Postpartum 短期課程: 中草藥在產後調理中的應用和角色 There are 12 questions in this survey. Registration Form 報名表 Date:日期: 6 June 2026 (Sat) 2026年6月6日（星期六） Time:時間: 9:00 a.m. to 12:00 noon 上午9時正至中午12時正 Mode of Delivery:上課模式： Hybrid Mode面授/ 線上 (Zoom) Venue:地點: Mongkok Campus A, Tung Wah College 旺角校舍, 東華學院Cheung Kung Hai Memorial Building, 90A,Shantung Street, Mongkok, Hong Kong香港旺角山東街 90號A鍾江海紀念大樓(The address will be included in the confirmation email to be sent out later. 含有地址的確認電郵會於稍後發送。) Online via Zoom:線上（Zoom）: The Zoom Details will be included in the confirmation email to be sent out later. 含有連結的確認電郵會於稍後發送。 Course Coordinator:課程統籌: Dr. Angela TAI 戴善婷博士 Guest Speaker:講者: Ms. TSE Ka Man, Carmen謝嘉雯中醫師 Target Participants: 對象學員: Nurses, Midwives, and Post Natal Healthcare Providers, together with Interested Members of the Public who Serve as Home Caregivers. 護士、助產士、產後護理人員，以及擔任家庭照顧者的公眾人士。 Course Fee:課程費用： $500.00 (non-refundable)$500.00（不可退還） CNE: 持續護理教育: CNE hours: 3 hours CNE points: 3 points CNE時數: 3小時CNE學分: 3學分(CNE points are applicable to Registered Nurse (RN) and Enrolled Nurses (EN) only. CNE 學分僅適用於註冊護士(RN) 及登記護士(EN)。) Enquiry:查詢： Email: [email protected]電郵：[email protected] Application Deadline:報名截止日期: 28 May 2026 2026年5月28日 Personal Information 個人資料 (This question is mandatory) Title 稱謂 Prof. 教授 Dr. 博士 Miss 小姐 Ms. 女士 Mr. 先生 Mrs. 太太 (This question is mandatory) Name 姓名 in English; must match the identification document for issuance of the Certificate of Attendance. Please use the same name when joining Zoom, if applicable. 英文；須與身份證明文件相符，以便發出出席證書。如透過 Zoom 出席，請使用相同姓名。 (This question is mandatory) Email Address 電郵地址 (This question is mandatory) Mobile Phone 手提電話號碼 By providing your mobile number, you agree to be contacted via WhatsApp, if necessary. 提供手提電話號碼即表示同意於有需要時透過 WhatsApp 聯絡。 (This question is mandatory) Please indicate whether you are a nurse 請註明是否為護士 Yes 是 No 否 (This question is mandatory) Institution 所屬機構 / Organization 公司 Department 部門 / Working Area 工作範疇 (This question is mandatory) Work Title 職銜 / Position 職位 (This question is mandatory) Please indicate your mode of attendance. 請註明上課模式 In person 面授 Online via Zoom 線上 (Zoom) CNE Application Information 持續護理教育申請資料 Please note that participants will only be issued a Certificate of CNE Points upon successful completion of the programme. 請注意: 學員須成功完成課程，方可獲發 CNE 學分證書。 Participants with an attendance of less than 3 hours will not be eligible to receive any CNE points. 出席時數少於 3 小時 的學員，將不符合資格 獲取任何 CNE 學分。 (This question is mandatory) Are you applying for CNE points for this activity? 是否申請本活動的 CNE 學分？ Yes 是 No 否 (This question is mandatory) Hong Kong Registered Nurse/ Enrolled Nurse Number 香港註冊護士／登記護士編號 Disclaimer 免責聲明 (This question is mandatory) All checkboxes below must be clicked; otherwise, you cannot submit. 請選擇以下所有適用項目（必須全選，否則未能提交表格）： I accept the responsibility to ensure that the provided email address is accurate for receiving confirmation and payment notice from the Organizers with measures to prevent legitimate emails from going to Spam or Junk folder. 本人確認所提供之電郵地址正確，並會採取適當措施，確保能接收由主辦單位發出的確認及付款通知電郵，避免被誤判為垃圾郵件。 I understand and accept that there will be no refund due to whatever reasons. 本人明白及同意，所有已繳費用不論任何原因均不設退款。 I agree to comply with the procedures of attendance taking and tracking implemented by the organizer for verifying the fulfillment of the minimum 3 hours attendance requirement stipulated by The Nursing Council for the granting of CNE points. 本人同意遵從主辦單位之出席紀錄及追蹤安排，以核實符合香港護士管理局規定的最少 3 小時 出席要求。 The personal data collected will be used by School of Nursing, Tung Wah College and authorized personnel for processing the captioned purposes in accordance with relevant provisions of the Personal Data (Privacy) Ordinance. 所收集的個人資料將由 東華學院護理學院 及獲授權人員按《個人資料（私隱）條例》相關規定，用作上述用途。 By enrolling to this workshop, I agree to waive any claim whatsoever against the organizers and Check all that apply. 報名參加本工作坊即表示本人同意放棄向主辦單位提出任何索償。 Please click all checkboxes above before submitting. 請於提交前勾選以上所有方格。 Submit Load unfinished survey Resume later Please confirm you want to clear your response? Exit and clear survey ×
