Enrollment

I authorise the Society for the Promotion of Hospice Care (SPHC) to use my personal data for the following purposes:

1. statistical and research purposes (no personal identifiers such as name, correspondence address and telephone number will be released in the survey results).
2. delivering to me the announcements of SPHC promotional information related to activities, programmes, and benefits and services. My personal data including name, e-mail address, correspondence address and telephone number may be used for this purpose.

I wish to receive information as stated in item 3 above

I declare that all particulars given in this form are true and correct to the best of my knowledge and understand that provision of any false and misleading information will lead to disqualification of my application and enrolment on the course. Any fees paid will not be refunded. *

I have read all the details and understand the declaration I made (including the arrangement on the use of personal data)*