Group Registration Form for MiGC 2021, 15-17 March 2021
All information received in this form will be treated confidentially.

Note: Group registration is applicable to Genetic Society of Malaysia (PGM) members only. Atleast 5 PGM members are required for group registration.
Please press "enter" to insert the others name of group members.
Name [Please your name and title (Professor, Assoc. Prof. Dr., Dr., Mr., Ms.) before the name]. Please put a (*) for group leader for purpose of sending the invoice. *
Number of type participation of group registration: [Student ( PGM member)]. Please put a (-) if not available. *
Number of type participation of group registration: [Non-student (PGM member)]. Please put a (-) if not available. *
Please provide the PGM membership ID
[If you are PGM member, please check at , for non-member, please put a dash (-) ]
Insert your PGM membership ID of each participant here:
Organisation/Institution (if you are from the same institution, please insert one name only) *
Country (If you are from the same country, please insert one name only) *
Email Address (please insert the email address of all group members) *
Phone Number (please insert the phone number of all group members) *
Type of participation
*Abstract submission is compulsory for oral and e-poster presenter
Please choose the following type of participation:
Oral Presenter, e-Poster presenter, non-presenting participant

Note: Please insert the name and type of participation; example:
1. Participant A - Oral presenter
2. Participant B - e-Poster presenter
3. Participant C - Oral presenter
4. Participant D - non-presenting participant
We would like to: (Please choose the type of participation [Oral presenter / e-poster presenter / non-presenting participant]) *
Title of Presentation (If available)
Name of presenting author *
Would you like to publish your findings in Transactions of Persatuan Genetik Malaysia (TPGM)?
If your answer is YES, please refer extended abstract format for preparing your paper ( TPGM is the society’s scientific publication with ISBN 978-967-16583-2-1 and eISBN 978-967-16583-3-8.
Participant 1
Clear selection
Participant 2
Clear selection
Participant 3
Clear selection
Participant 4
Clear selection
Participant 5
Clear selection
Payment Method (Please see the payment page for details) - The treasurer will email the invoice after receive the registration) *
Declaration by Applicant
By submitting this form, I hereby declare that all information provided are true and complete. I understand that in order for my presentation abstract to be accepted, I have to make payment before the stated deadline.
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