Pre-Conference Workshop Registration Form
MALDI-Imaging Workshop | (7th – 8th November 2017) | UKM Medical Molecular Biology Institute (UMBI)
PERSONAL INFORMATION
Title *
Name *
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Organisation *
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Address *
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Telephone *
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Facsimile
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Email *
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Vegetarian *
PROGRAMME & REGISTRATION FEES
Inclusive of 6% GST - The fee will cover the cost of conference materials, lunch, tea breaks & certificate.
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METHOD OF PAYMENT
Please select payment type *
BANK INFORMATION
Account Bendahari: Universiti Kebangsaan Malaysia
Account No: 86-0008114-0
Bank: CIMB Berhad
Bank Address: CIMB Cawangan Taman Maluri, No. 279 & 279A, Jalan Perkasa 1, Taman Maluri Off Jalan Cheras, 55100 WP Kuala Kumpur, Malaysia
CPB/GST UKM: 0017 8225 9712
Swift Code: CIBB MYKL
REFUND POLICY
No refund will be made for no-shows. To cancel the registration with refund, secretariat must receive your cancellation request in written form or by email no later than 2 weeks before registration date. Thank you.
CONTACT
Secretariat of MALDI-Imaging Workshop
UKM Medical Molecular Biology Institute (UMBI)
UKM Medical Centre
Jalan Ya’acob Latiff, Bandar Tun Razak
56000 Cheras Kuala Lumpur
Cik Junaida Osman (019-776 7683) / Pn. Nadzirah Selamat (03-9145 9024)
Fax: 03-9171 7185 Email: rcmm.umbi@gmail.com
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