Account Creation

Account Type *	--Select-- Radiation Board Licensing Services Radiation Monitoring Service Subscriber Medical Examination
Surname (New Authorized Person) *		Other Name (New Authorized Person) *
(Surname and Other Name to input are according to the HKID / Other ID Document.)
Title *	--Select-- Dr. Dr. (for PhD) Mr. Ms. Miss Mrs.	Desired user ID *	(4 to 8 characters comprising both alphabets and/or numbers)
HKID *	( )	Other Identity No.
BRN	- - - -	Telephone No.
Mobile No.		Fax No.
Email *
Mailing Address *	Flat/Unit
	Floor
	Block
	Building
	Street
	District	--- ABERDEEN ADMIRALTY AP LEI CHAU AU TAU BLACK POINT BRAEMAR HILL CAUSEWAY BAY CENTRAL CHAIWAN CHEK LAP KOK CHEUNG CHAU CHEUNG SHA CHEUNG SHA WAN CHOI HUNG CHUNG HUM KOK CLEAR WATER BAY CYBERPORT DEEP WATER BAY DIAMOND HILL DISCOVERY BAY FANLING FO TAN HAPPY VALLEY HEI LING CHAU HENG FA CHUEN HO MAN TIN HUNG HOM HUNG SHUI KIU JORDAN KAM TIN KENNEDY TOWN KORNHILL KOWLOON BAY KOWLOON CITY KOWLOON TONG KWAI CHUNG KWAI FONG KWUN TONG LAI CHI KOK LAM TEI LAM TIN LAMMA ISLAND LANTAU ISLAND LOK FU MA LIU SHUI MA ON SHAN MA TAU WAI MA WAN MID-LEVELS MONG KOK MOUNT DAVIS MUI WO NGAU TAU KOK NGAU TZE WAN NORTH POINT PAK SHEK KOK PENNY'S BAY PING CHAU POKFULAM QUARRY BAY REPULSE BAY SAI KUNG SAI WAN HO SAI YING PUN SAN PO KONG SAU MAU PING SHA TAU KOK SHAM SHUI PO SHAM TSENG SHATIN SHATIN RACECOURSE SHAU KEI WAN SHEK KIP MEI SHEK O SHEK PIK SHEK TONG TSUI SHEUNG SHUI SHEUNG WAN SIU A CHAU SIU LAM SIU SAI WAN SO KON PO SO KWUN WAT SO UK STANLEY STONECUTTERS ISLAND TAI HANG TAI HANG SAI TAI KOK TSUI TAI LAM TAI O TAI PO TAI WAI TAI WO PING TAIKOO SHING TAP SHEK KOK THE PEAK TIN HAU TIN SHUI WAI TO KWA WAN TONG FUK TSEUNG KWAN O TSIM SHA TSUI TSING YI TSUEN WAN TUEN MUN TUNG CHUNG TZE WAN SHAN WAH FU WAN CHAI WANG TAU HOM WONG CHUK HANG WONG TAI SIN YAM O YAU MA TEI YAU TONG YAU YAT CHUEN YUEN LONG
	Hong KongKowloonNew Territories
Print Format for Mailing Address *

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