MAAM Convention 2019 - Weil Hotel, Ipoh 19th - 20th July 2019
Registration Form For Individual Package Subscribers
Email address *
Name
Your answer
Designation
Your answer
Place of Practice
Your answer
Contact Number
Your answer
34th MAAM Convention Flyer
1. Informal Night - “Free & Easy” (19th July 7.00 pm)
RM 160 per person
Attending
Meals
2. Medical & Surgical Symposium (20th July 8.00am – 4.30pm)
Early Bird (before 31st May) - RM120, After 31st May - RM160

Preferred Track
Captionless Image
Medical & Surgical Track Speaker List - "8 CPD Points Awarded"
Meals
3. Poster Competition
Abstract Submission
4. MAAM AGM – For MAAM Members Only (20th July 5.00pm)
5. Gala Night – “ Casino Royale “ (20th July 7.00pm)
RM 160 per person
Attending
Meals
6. Family Fun Activities (Ipoh Parade, adjacent to Weil Hotel)
Children’s Games Fantasia (19th July 3pm)
Laser Tag ( 19th July 3pm)
Bowling (19th July 4pm-6pm)
Perak Hop On Hop Off Bus Tour (19th July 4pm to 6pm)
Children's Party - Candyland (20th July, 7.00pm to 10pm)
(RM50/- per child, inclusive of food and entertainment) Aged between 3yrs to 12yrs
Name
Your answer
Age
Your answer
Children's Party "Candyland Flyer"
Ipoh Day Tour & Food Galore
Yes, I would to join the Tour & Food Galore on 20th July from 8.30am – 2pm.
Package Price
Package Choice
Children's Party - Rm 50
Package Choice Description
(If you don't find your combination from the list above, Please manually write your combination and pay accordingly)
Your answer
*Payment can be made via online transfer to :Manipal Alumni Association of MalaysiaAlliance bank Acc No : 141670010019341
*Please e-mail the completed registration forms to manipalmaam@gmail.com together with proof of payment.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service