2ND MMA CONFERENCE ON HEALTH OF THE OLDER PERSON

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THEME : 21st Century Health for Seniors

Date : 9 -11 July 2019
Venue : Pullman Kuching Hotel, Sarawak

TARGET PARTICIPANTS:
MMA Members, Non-Members, Students, Allied Health Professional & Public

(20 CPD points will be awarded)

REGISTRATION FORM

DETAILS OF PARTICIPANT

Name *

NRIC/Passport No *

Profession *

Organization *

Email Address *

Mailing Address *

Office Number *

HP Number *

Details Of Participant *

MMA Member

Non-Member

Student

Allied Health Professional & Public

Dietary Requirements *

Vegetarian

Non-vegetarian

Registration Fee *

RM300.00 - Early Bird Registration (for all Participants) - (until 31st May 2019)

RM500.00 - MMA Members and Students

RM750.00 - Non-Members, Allied Health Professionals & Public

Payment Options *

Direct Bank Transfer

Telegraphic Transfer

Payment Details

Payable to : Malaysian Medical Association
Account No. : 1402-8001-0086-760
Swift Code : MFBBMYKL
MMA Reg No : PPM-016-14-13101967
Bank : Alliance Bank Malaysia Bhd
Bank Address : No. 42 & 43, Jalan Ipoh, 52100 Kuala Lumpur

Contact person:
Ms. Muthu
Tel: 03-40411375 (Ext 200) Fax: 03-40418187 / 03-40419929
E-mail: hop@mma.org.my

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