Registration for NATIONAL ELECTROCONVULSIVE THERAPY (ECT) COURSE 2023
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Email *
NAME
*
as per IC / Passport
IDENTIFICATION NUMBER (IC) / PASSPORT NUMBER *
POSITION *
ORGANIZATION *
MOBILE NUMBER *
REGISTRATION FEE SCHEDULE
REGISTRATION PAYMENT DETAILS
Kindly note that receipt of full registration payment is to be emailed to neuron2023.reg@gmail.com for payment confirmation. Delegate will receive an email confirmation upon completing payment.
EARLY BIRD (FULL PAYMENT BY 1ST JUNE 2023)
*BKP = BADAN KEBAJIKAN PSIKIATRI HKL
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STANDARD (FULL PAYMENT AFTER 1ST JUNE 2023)
*BKP = BADAN KEBAJIKAN PSIKIATRI HKL
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DIETARY REQUIREMENT *
A copy of your responses will be emailed to the address you provided.
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