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Psoriasis Association of Malaysia - Annual General Meeting 2023 & Specialist Talk
Date : 17 June 2023 (Saturday - 10am- 1pm. Lunch is served )
Venue : Card Room -Royal Selangor Club ( Dataran Merdeka)
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1.What is your valid mobile number for whatsapp communication? / Nombor telefon anda untuk berkomunikasi dengan watsapp?
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2.FULL NAME as per IC / NAMA PENUH seperti tertera di Kad Pengenalan
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3.Gender/ Jantina
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Male / Lelaki
Female / Perempuan
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4. Correspondence Address / Alamat Surat-menyurat
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5.Are you a Psoriasis Patient, if yes how many years? / Adakah anda seorang pesakit Psoriasis, jika ya, berapa lama anda menghidapinya?
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6. Are you a Malaysian / Adakah anda warganegara Malaysia?
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7. Are you currently a member of PAM? / Adakah anda seorang ahli PAM?
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8. Is there anyone else you would like to bring along? Adakah anda ingin membawa keluarga / Kawan bersama?
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9.If you are bringing along family / friends, kindly leave the details here/ Jika anda ingin membawa keluarga/ kawan, sila berikan butiran peribadi seperti nama/ umur dan sebagainya.
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Are you a vegetarian? (sebarang daging dikecualikan)
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For more information, kindly contact the person in charge as below or email to
hi@psoriasismalaysia.org
PIC 1 : Ms Vennila - 0102119198
PIC 2 : Patrina - 0122262057
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