PALES Precongress Registration Form
Preregistration form for the PALES Precongress workshop on July 13, 2022, Wednesday at the St. Luke's College of Medicine Penthouse. Please fill out details completely.

Registration is free.
Please be advised that a maximum of 50 registrants will be allowed to participate in the afternoon skills workshop.
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NAME of TRAINEE  (LAST, FIRST MIDDLE NAME) *
TRAINING INSTITUTION *
SPECIALIZATION *
SUBSPECIALIZATION (if any) *
DESIGNATION *
Through which platform will you be attending ? *
Contact number (Cellphone) *
Email Address *
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