The Christie FRCR 2B Preparatory Course in Asia Registration Form
In Collaboration with Universiti Sains Malaysia | 27th - 28th February 2019 Penang, Malaysia
Name *
Your answer
Email *
Your answer
Institution / Current Place of Work *
Your answer
Country *
Your answer
Clinical Position in Current Place of Work *
Required
Have you passed your FRCR Part 2A? *
Correspondence Address *
Your answer
Contact Number *
Your answer
Will you be attending the USM 2nd International Oncology Symposium from 1st - 3rd March 2019? (Delegates will be entitled for a 20% discount on the published fee for International / Malaysian Doctors if they are attending the FRCR Part 2B Preparatory Course) *
Dietary Preference *
Required
Preferred Payment Method *
By ticking "Yes" below, I hereby confirm my attendance to attend The Christie FRCR Part 2B Preparatory Course in Asia 2019. I acknowledge that my confirmation is subject to payment of course fee and approval from the organiser.
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