PEM Annual General Meeting cum Forum (July 25, 2021)

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We are excited that you could join us!

This event is open to all members, patients, care providers, supporters and to the public. If you wish to attend, please complete the registration form below.

Date: 25th July, 2021 (SUNDAY)
Time: 2:00 pm - 4:30 pm (MYT)
Location: Own location via Zoom

If you can join us earlier, we will be having an ice-breaking session 15 minutes earlier, so come in early and say hello!

Please click this URL to join:
https://monash.zoom.us/j/88458827505?pwd=VU9EcEYvTmkrQ2hVSUU4NFJyL3hRZz09

*You need to fill in your email again before entering the Zoom session. Click Register and then Click Launch Meeting to join.

All details collected will be used solely for Persatuan Epilepsi Malaysia event and will not be shared with any third party.

Any enquiries, please email us at epilepsymalaysia@gmail.com

Email *

Full Name (First, Last Name) *

Designation (Prof., Dr., Mr., Ms., etc) *

Mobile Number

PEM Membership status *

Member

Non-Member

Would you like to receive updates on PEM upcoming events via email? *

Yes

Affiliation or interest - please select all that apply *

Person with epilepsy

Parent or care provider

Healthcare Professionals (Doctors, Nurses, Researchers)

Other:

Nationality *

I understand that I will be reserving a space in the zoom session, and the session will be recorded. *Please note that even if your camera is off your name might be visible. *

Yes, I understand

A copy of your responses will be emailed to the address you provided.

Submit

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