MANAGEMENT OF WORKPLACE VIOLENCE IN EMERGENCY DEPARTMENT
Date : 22-23 November 2016
Time : 8am - 5 pm
Venue : Auditorium Hospital Shah Alam

Registration Fees:
Emergency Department Resident (Selangor)                : RM 50
Emergency Department Resident (outside Selangor)  : RM 80
Non Emergency Department Resident                            : RM 80
Private Hospital                                                                   : RM 100

Contact us at (+60) 355263000 (ext: 3737/3728) Or Dr Noor Hafizah (012-7090777), Dr Shakirah ( 0193887476), Dr Farha (0176042603)or email us at emed.hsas@gmail.com

Instruction for registration:

1. Fill in the online registration form AND CLICK SUBMIT
2. PLEASE COPY THE PRE-FILLED LINK
3. Kindly make payment via ATM/Online Payment to:

Recipient                : Pertubuhan Perubatan Kecemasan, Jabatan Kecemasan dan Trauma, Hospital Shah Alam (SATEM)
Bank Account No : RHB Islamic Bank Berhad, Seksyen 9 Shah Alam.
                                  26225000025177

4. Email THE PRE -FILLED LINK AND PROOF OF PAYMENT with  your full name and IC to emed.hsas@gmail.com for payment verification
5. Admin will confirm your registration via email
6. Closing Date : 4th November 2016


Email *
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Name *
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Designation *
Department *
I/C Number/ Pasport *
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Phone Number *
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Hospital *
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Dietary restrictions *
Date of Payment Banked in *
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Paying/Online Transfer Reference No. *
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Have you been exposed to any form of workplace violence ? *
If yes, what type of workplace violence you were exposed to? You may choose more than one answer
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