hemophiliamalaysia@yahoo.com

WFH 2020 World Congress Ticket Opportunity

Hemophilia Society of Malaysia (HSM) is pleased to host the WFH 2020 World Congress in Kuala Lumpur, Malaysia from 14 th – 17 th June 2020. HSM would like to offer opportunity for complimentary pass to deserving Person with Bleeding Disorder/caregivers/family members/volunteers to participate and be part of the international event that will be held in Malaysia for the first time.

There will be 20 complimentary passes up for grabs. A selection committee will choose applicants based on merit of the application received.

Criteria
Applicants must meet the following criteria in order to be considered: –

  • A member with HSM (priority will be given to HSM Life Member)
  • A person with Hemophilia, von Willebrand, other bleeding disorder, or;
  • A carrier, or;
  • A caregiver, or;
  • A volunteer with HSM
  • Able to communicate well in English
  • Have volunteered in HSM activity in the past 3 years
  • Be committed to working with HSM for at least two years after the congress

The application deadline is 31st January 2020. Late or incomplete application will not be considered. Applicants will be informed of the result by 25 th February 2020.

Please complete the application form below. You may upload any supporting documents (if any) relevant to your application.

The complimentary pass ONLY includes ticket to attend WFH World Congress 2020 in Kuala Lumpur, Malaysia on 14 th – 17 th June 2020.

Items not covered by HSM

  • Accommodation during congress
  • Transportation to congress
  • Meals during congress

APPLICATION FORM

Medical information
Part 2