Essential Breastfeeding Skills Workshop        陪月人员哺乳培训课程
Kindly fill in this form for registration. You may register for up to 5 participants per form. Submitting this form with 5 or more participants will entitle you to a 15% group discount.
请填写以下的报名表格。您最多可在每份表格中注册5名参与者。若在此表格注册5名或以上的参与者，您将可享有15%的团体折扣。

• Workshop A: 10 June 2019 (mainly English and Chinese)
• Workshop B: 17 June 2019 (mainly English and Chinese)
• Workshop C: 19 June 2019 (mainly English and Malay)


Venue 地点：RCSI & UCD Malaysia Campus, 4 Jalan Sepoy Lines, 10450 Penang
Fees 地点: RM40 per pax.

1 Participant 一名: RM40.00
2 Participants两名: RM80.00
3 Participants 三名: RM120.00
4 Participants 四名: RM160.00
5 Participants 五名: RM170.00
Above 5 participants 五名或以上: 15% off total fees
(Payment details at the end of the form 付款详情请参阅表格末尾处)

Please remember to click the "Submit" button at the end of the form when you have finished.
请记得在填妥表格后点击“Submit”按钮

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Name of Confinement Center *
Contact person *
Contact number *
Email address *
Choice of workshop (you can choose as many as you wish)
1 partipant 一名
2 participants两名
3 participants三名
4 participants四名
5 participants五名
Workshop A: 10 June 2019 (mainly English and Chinese)
Workshop B: 17 June 2019 (mainly English and Chinese)
Workshop C: 19 June 2019 (mainly English and Malay)
Clear selection
Total participants
Pay to :
PENANG MEDICAL COLLEGE SDN. BHD.
CIMB Islamic Bank Berhad.
Pulau Tikus Branch
409 Jalan Burmah, 10350 Penang
Account No : 8602-154-353
Swift Code:    CTBBMYKL

* Please indicate “Confinement Workshop 2019” and Confinement Center name during payment and submit a copy/photo of payment to tharani@rcsiucd.edu.my
 Please click submit. Thank you.
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