Registration Form
For Group registration (3pax and above), kindly email to secretariat@digitalhealthmalaysia.org
Title
Full Name *
Your answer
Mailing Address *
Your answer
Zip /Postal Code
Your answer
Country
Your answer
Telephone no.
Your answer
Mobile phone *
Your answer
Email Address *
Your answer
Registration Fee *
Payment method- an email will be send from the conference secretariat
Your answer
Tax Invoices (Attention to) (Tax invoice will be built to the following name) *
Your answer
Billing address (Full) (Tax invoice will be built to the same address) *
Your answer
Meal Preference *
Name on Certificate *
Your answer
Submit
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