Title :

Mr Mrs Ms Miss Others

Family (Last) Name :

Other Names :

Company/Organization :

Address :

City :

Postcode :

Country :

Tel :

Fax :

University Attending :

Faculty :

Major(s) :

Year of Study :

Student ID Number :

Email :

Title of paper to be presented :

Has your paper been accepted by the conference?

Content of Abstract :

My Brief Resume:

Name of Referee :

Department :

Position :

Contact Address :

Phone Number :

Email Address :

Please send your referee's recommendation letter on or before 10 October 2005 either by FAX (+852) 2517-6951 or by POST addressed to Ms Kitty Chan, The Public Opinion Programme, Rm 804 Meng Wah Complex, The University of Hong Kong, Pokfulam, Hong Kong.

An essay of not more than 500 words describing the applicant's research/academic background and reasons for wanting to attend the WAPOR conference, focusing on the usefulness of the conference to the applicant's current research or studies: