Full name*
Last name*
Email*
Phone Number*Hong Kong (+852)USA (+1)UK (+44)Algeria (+213)Andorra (+376)Angola (+244)Anguilla (+1264)Antigua & Barbuda (+1268)Argentina (+54)Armenia (+374)Aruba (+297)Australia (+61)Austria (+43)Azerbaijan (+994)Bahamas (+1242)Bahrain (+973)Bangladesh (+880)Barbados (+1246)Belarus (+375)Belgium (+32)Belize (+501)Benin (+229)Bermuda (+1441)Bhutan (+975)Bolivia (+591)Bosnia Herzegovina (+387)Botswana (+267)Brazil (+55)Brunei (+673)Bulgaria (+359)Burkina Faso (+226)Burundi (+257)Cambodia (+855)Cameroon (+237)Canada (+1)Cape Verde Islands (+238)Cayman Islands (+1345)Central African Republic (+236)Chile (+56)China (+86)Colombia (+57)Comoros (+269)Congo (+242)Cook Islands (+682)Costa Rica (+506)Croatia (+385)Cuba (+53)Cyprus North (+90392)Cyprus South (+357)Czech Republic (+42)Denmark (+45)Djibouti (+253)Dominica (+1809)Dominican Republic (+1809)Ecuador (+593)Egypt (+20)El Salvador (+503)Equatorial Guinea (+240)Eritrea (+291)Estonia (+372)Ethiopia (+251)Falkland Islands (+500)Faroe Islands (+298)Fiji (+679)Finland (+358)France (+33)French Guiana (+594)French Polynesia (+689)Gabon (+241)Gambia (+220)Georgia (+7880)Germany (+49)Ghana (+233)Gibraltar (+350)Greece (+30)Greenland (+299)Grenada (+1473)Guadeloupe (+590)Guam (+671)Guatemala (+502)Guinea (+224)Guinea - Bissau (+245)Guyana (+592)Haiti (+509)Honduras (+504)Hungary (+36)Iceland (+354)India (+91)Indonesia (+62)Iran (+98)Iraq (+964)Ireland (+353)Israel (+972)Italy (+39)Jamaica (+1876)Japan (+81)Jordan (+962)Kazakhstan (+7)Kenya (+254)Kiribati (+686)Korea North (+850)Korea South (+82)Kuwait (+965)Kyrgyzstan (+996)Laos (+856)Latvia (+371)Lebanon (+961)Lesotho (+266)Liberia (+231)Libya (+218)Liechtenstein (+417)Lithuania (+370)Luxembourg (+352)Macao (+853)Macedonia (+389)Madagascar (+261)Malawi (+265)Malaysia (+60)Maldives (+960)Mali (+223)Malta (+356)Marshall Islands (+692)Martinique (+596)Mauritania (+222)Mayotte (+269)Mexico (+52)Micronesia (+691)Moldova (+373)Monaco (+377)Mongolia (+976)Montserrat (+1664)Morocco (+212)Mozambique (+258)Myanmar (+95)Namibia (+264)Nauru (+674)Nepal (+977)Netherlands (+31)New Caledonia (+687)New Zealand (+64)Nicaragua (+505)Niger (+227)Nigeria (+234)Niue (+683)Norfolk Islands (+672)Northern Marianas (+670)Norway (+47)Oman (+968)Palau (+680)Panama (+507)Papua New Guinea (+675)Paraguay (+595)Peru (+51)Philippines (+63)Poland (+48)Portugal (+351)Puerto Rico (+1787)Qatar (+974)Reunion (+262)Romania (+40)Russia (+7)Rwanda (+250)San Marino (+378)Sao Tome & Principe (+239)Saudi Arabia (+966)Senegal (+221)Serbia (+381)Seychelles (+248)Sierra Leone (+232)Singapore (+65)Slovak Republic (+421)Slovenia (+386)Solomon Islands (+677)Somalia (+252)South Africa (+27)Spain (+34)Sri Lanka (+94)St. Helena (+290)St. Kitts (+1869)St. Lucia (+1758)Sudan (+249)Suriname (+597)Swaziland (+268)Sweden (+46)Switzerland (+41)Syria (+963)Taiwan (+886)Tajikistan (+992)Thailand (+66)Togo (+228)Tonga (+676)Trinidad & Tobago (+1868)Tunisia (+216)Turkey (+90)Turkmenistan (+993)Turks & Caicos Islands (+1649)Tuvalu (+688)Uganda (+256) Ukraine (+380)United Arab Emirates (+971)Uruguay (+598) Uzbekistan (+998)Vanuatu (+678)Vatican City (+379)Venezuela (+58)Vietnam (+84)Virgin Islands - British (+1284)Virgin Islands - US (+1340)Wallis & Futuna (+681)Yemen (North)(+969)Yemen (South)(+967)Zambia (+260)Zimbabwe (+263)
Address* ID or Passport Number*
Are you a Hong Kong resident?YesNo
Name of Company (if applicable)
Name of directors of the Company (If applicable)
Educational Qualifications (Please specify the institution, the degree, the year of completion)*
Professional Qualifications (Please list all your hypnotherapy certifications. Please specify the name of the institution, the number of hours, the completion status, the graduation date, and the delivery method – online or in-person training).*
What is your Employment Status?*UnemployedSelf-employedEmployed
Name of your current employer, if applicable.
What is your Title/Position in the company?
Brief Employment Summary(Please provide Employer Name, Start Date, End Date and Position).
Do you have a professional indemnity insurance?YesNo
Have you ever been convicted of a criminal offense? YesNo
Which Membership are you applying for?*Full MemberCorporate MemberGraduate MemberAffiliate Member
Upon successful application and payment of necessary fees, members are entitled to a listing on Hong Kong Hypnotherapy Association (HKHA) website. 1. Would you like your name to be listed on the website?YesNo 2. Would you like your telephone number to be listed on the website? YesNo 3. Would you like your email address to be listed on the website? YesNo
Application Fee HKD 200.00*
I confirm that all the information above is true and accurate. I understand that the application fee is non-refundable and that the Hong Kong Hypnotherapy Association reserves the right to reject application at their sole discretion. I also understand that this information is processed as per the Hong Kong Hypnotherapy Association Privacy Policy.*