Title Name* |
(Ex. Mr, Mrs, Ms, Prof, Dr) |
First Name* |
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Middle Name |
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Last Name* |
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Please choose Position* |
Physician
Resident
Fellow
Nurse
Technician
Others
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E-mail Address* |
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Address* |
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City* |
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Province* |
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Zipcode* |
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Nationality* |
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Telephone* |
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Special dietary requirements* |
None
Vegetarian
No beef
No pork
No sea food |
Registration Fees* (Feb. 1, 2022 onwards) |
Physician/ Resident / Fellow /
Nurse / Technician / Others
|
520 USD
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Terms and Conditions:
Payment Policy: Your registration and payment must be received by January 31, 2022 to receive the Early Bird rates. The full rate
applies to all other registrations where payment is received after this date.
Cancellation/Refund Policy: Registration will be completed when the registration fee has been received. The registration once proceeded are
non-refundable
Credit Card Payment is available, please refer to the last page of registration process.
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