PRE-REGISTRATION: ECHO/MULTIMODALITY CLUB @MYLIVE 2018 (25 JULY 2018 | 6:00pm - 8:00pm)
REGISTRATION FOR THIS EVENT IS CLOSED.
Email address *
Full Name (required for CPD points) *
Your answer
NRIC (complete NRIC required for CPD points) *
Your answer
Contact Number (Mobile)
Your answer
Category *
Hospital / Institution *
Your answer
NHAM Membership Status *
SCIM Membership Status *
CONFIRMATION OF REGISTRATION
A confirmation email will be sent to you to confirm your registration for the above.
PAYMENT INFORMATION
**NON-NHAM Member - Secretariat will email to advise on payment. Payment is accepted via JomPAY & cheque deposit before 20 JULY 2018. A confirmation email will be sent to you once we receive the full payment.
A copy of your responses will be emailed to the address you provided.
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