Registration Form for International Aortic Surgery Workshop 
Cardiothoracic Surgery (CTS), UMMC proudly presents "International Aortic Surgery Workshop" from 15th August till 20th Ogos 2022. We will be broadcasting LIVE SURGERY from Operation Theatre in Menara Selatan on 17th & 19th August 2022 led by our experienced leading surgeons in a complex aortic surgery. This live broadcast is viewable from Clinical Auditorium, Faculty of Medicine, UM and in other health institutes in ASEAN countries. Please RSVP for your seat below.
Email *
Full Name *
NRIC/ Passport Number *
MMC Number
Only for licensed medical practitioner in Malaysia
Designation *
For PPUM staff, please state your grade number
Department/ Specialisation *
Organisation/ Institution  *
Please state your country
Are you attending? *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Pusat Perubatan Universiti Malaya. Report Abuse