Workshop Registration Form
Details of payment mode please contact:
Ms. Jessie Tan (Secretary)
T: +65-63941091
F: +65-62912661
E: paedsairway@gmail.com
Workshop Fees
Specialist:
SUPER EARLY BIRD: until 15 Jan 2019: SGD 642 (with GST)
EARLY BIRD: until 14 Feb 2019: SGD 749 (with GST)
ONSITE [CASH] : SGD 963 (with GST)

Residents/AST/Fellows:
SUPER EARLY BIRD: until 15 Jan 2019: SGD 428 (with GST)
EARLY BIRD: until 14 Feb 2019: SGD 535 (with GST)
ONSITE [CASH] : SGD 963 (with GST)

First Name *
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Last Name *
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Hospital *
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Country *
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Designation *
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Address *
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Telephone *
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Email *
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Special Dietary Request *
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Suggested Topics for Problem Based Learning
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