PRECONGRESS IAP CYTO
IAPMD KK 2018 PRE-CONGRESS CYTOLOGY WORKSHOP REGISTRATION FORM
NOTE : Please make sure payment have been made (online/CDM) and have the registration number for this registration completion.
Designation (Prof/Dr/Mr/Mrs/Ms)
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Full Name *
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Institution (Hospital/University/Lab) *
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Office Address *
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Office Number *
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Mobile/Handphone number *
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Email address *
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Vegetarian
MSOC Membership number ( Leave blank for non members)
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Registration Category ( Before 31st SEPTEMBER 2018) *
Payment Method:
1. Electronic bank transfer/Cash Deposit Machine : Persatuan Sitologi Malaysia (Malaysian Society of Cytology) CIMB ISLAMIC BANK BERHAD ACC NO: 8600289548
2. Payment in the form of Cheque to be made to Persatuan Sitologi Malaysia (Malaysian Society of Cytology)
3. Cash (walk-in ONLY)
Choose You Payment Method *
Example of Ref. No in Cash Deposit Machine Receipt
Example of Ref. No in online banking receipt
CDM/Online Transfer Ref. Number/Cheque Number *
Your answer
Contact Person:
MSOC : Ms. Kong Sau Mun (03 26155620)
Mr. Sayiddi Hamzi (+6012 262 8384)

HQE,KK : Ms. Laura B (+6015 811 8802)
Ms. Tania Nina B (+6010 900 7339)

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