Singapore HIV Congress 2019
Date: 30 Nov 2019
Time: 9am - 5pm
Venue: Centre for Healthcare Innovation
*Registration fees: $80

*For group registration, please kindly email
Name *
Your answer
Saluation *
Your answer
Preferred name to be printed on congress badge *
Your answer
Organisation *
Your answer
Designation *
Your answer
MCR/SNB/SPC Number *
Your answer
Country of residence *
Your answer
Email address *
Your answer
Mobile Number
Your answer
Dietary Restrictions (Food catered are Halal certified) *
How did you hear about Singapore HIV Congress 2019?
Your answer
Mode of Payment *
Payment details
Payment by Credit Card
Please complete your registration by downloading our credit card charge form at and email the completed form to to secure your place in the congress.

Payment by Cheque
Cheques should be made payable to "Tan Tock Seng Hospital Pte Ltd" and mailed to the following address:

Infectious Disease Research & Training Office
National Centre for Infectious Diseases
c/o 18 Jalan Tan Tock Seng, Level 2
Centre for Healthcare Innovation
Singapore 308443
Attention to: Training & Education Office

Your registration will be completed once we have received your cheque.

Payment Process
Your payment will be processed and your place will be reserved upon receipt of credit card charge form or cheque

Course fees are non-refundable except in the event that the National Centre for Infectious Diseases (NCID) is unable to deliver the course.

Personal Data Protection Act
The Personal Data Protection Act 2012 (PDPA) governs the collection, use, disclosure and care of individuals’ personal data, which may include photos and mentions in publicity materials including social media. In relation to the PDPA, I hereby give my consent for mentions and publicity for campaign events and activities, including photographs/videos and social media, by National Centre for Infectious Diseases ("NCID").

All personal data provided to NCID will not be used, reproduced, modified or distributed, in whole or in part, except in accordance with this consent form.

My personal data is solely owned by me and will not be used, reproduced, electronically transferred, modified, published, displayed or distributed, in whole or in part hereof, without my prior written consent.
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