Registration

User Name *

Password *

Title *

First Name *

Last Name *

Name in Chinese

Gender *

ID number *

Date of Birth *

Email *

Home Address *

Country

Company Name *

Company Address *

Company TelPlease include country code (e.g. +852)

Mobile *Please include country code (e.g. +852)

Correspondence Address *

EDUCATION & ACADEMIC QUALIFICATIONS *Please provide your Start and Completion of Study Years, Name of Educational Institution, Class, Major and Qualification obtained. Please state your most recent one first.

PRESENT AND PREVIOUS EMPLOYMENT *Please provide your Date of Employment, Name of Employer, Business Nature, Job Title and Specific Duties and Responsibilities. Please state your most recent one first.

Company Position *Please select one option only.

Managing Director Technical Development Manager Technician Sales, Marketing or Product Manager Technical or other Director Development Chemist Consultant Sales Representative or Executive

Employer Activity *Please select one option only.

Manufacturer Raw Material Supplier/ Distributor Consultant Education Others

Specialist Area *Select categories that describe your main area of expert.

Aerosol Technology Baby Products Bath Products Colour Cosmetics Environment Fragrance Hair Care Products Household Products Marketing Men’s Products Microbiology Production Quality Raw Materials Regulatory Safety Skin Care Products Toxicology Others

Reference RequirementsThis application is to be filled in with 2 sponsors to whom the applicant is known personally, at least one of which is a Full Member of the Society or of a Society Affiliated to the IFSCC. Please provide information of two persons other than your relatives.

Reference 1 Name *

Reference 1 Occupation *

Reference 1 Relationship with Applicant *

Reference 1 Phone Number *Please include country code (e.g. +852)

Reference 2 Name

Reference 2 Occupation *

Reference 2 Relationship with Applicant *

Reference 2 Phone Number *Please include country code (e.g. +852)

Please select your payment method. *

DECLARATION *

By submitting this application, I do hereby declare that on election I should observe the Constitution and Rules and do the utmost in my power to promote the welfare and maintain the dignity of the Society during my tenure of Membership.

HKSCC

Hong Kong Society of Cosmetic Chemists

PERSONAL PARTICULARS

EDUCATION & EMPLOYMENT

REFERENCES

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