AAPM Co-Sponsored Course on Current Trends and Technologies in Medical Physics
05 - 07 January 2018, Jinnah Post Graduate Medical Center - Karachi, Pakistan
Please Enter your Full Name: *
(First, Middle, Last) NOTE: Please print your name clearly and ensure that you use the correct spelling as you wish it to be printed on the certificate.
Please Choose your Gender
Please Choose your Title:
Please Choose your Profession
Please Enter your Institution Name:
Please Enter your Address: *
Mobile No.: *
Office Phone No.:
Email Address: *
The expected number of participants are 180-200 clinical physicists, >50 students, >25 health physicists, >20 researchers, >10 physicians, >10 therapy-techs
Clear selection
Early Registration (on or before 5 Dec. 2017) ($ 00)
Late Registration (6 Dec. - 4 Jan. 2018) ($ 00)
On-Site Registration (after 4 Jan. 2018) ($00)
Student Discounted Fee (50%)
Full-Time Fee
Clear selection
Please contact:
Usman Ahmed, M.Phil, Chief Medical Physicist,
JPMC Cybefknife Center, Karachi, Pakistan.
Email: usmanahmedch@yahoo.com Phone: +92-333-409-7747
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy