31st Regional Annual Congress of the Perinatal Society of Malaysia

() Required information

Participant Particulars

Title

Full Name

Name for Badge

Mobile No.

Including country and area codes

Medical Registration No.

Please include N/A if not available

IC / Passport No.

Do not include hyphen for IC No.

Date of Birth

Profession

Specialty

Department

Institution / Organisation

Correspondence Address

Postcode/Zip Code

State

Country

Office Telephone No.

(including country and area codes)

Fax No.

(including country and area codes)

Dietary Requirements

Non-Vegetarian

Vegetarian

Please select

Attending Banquet Dinner

Yes

Please select

Letter for Visa Application

Yes

Registration Category

Please select the respective category that you intend to join

Main Congress

Specialist (International) - RM 1800

Medical Officers/ Nurses / Paramedics / Allied Health / Student (International) - RM 1600

Please select a category

Total

Pre-Congress

Comprehensive Care for Tiny Babies Workshop (Doctor) - RM 200

Comprehensive Care for Tiny Babies Workshop (Nurse) - RM 150

Strategies and Tools to Enhance Performance and Patient Safety (STEPPS) Training in Obstetric Care - RM 50

1st Trimester Ultrasound Workshop (Lecture only) - RM 150

1st Trimester Ultrasound Workshop (Lecture + Hands-on) - RM 250 [FULL]

STEPPS Training in Obstetric Care + 1st Trimester Ultrasound Workshop (Lecture only) - RM 200

STEPPS Training in Obstetric Care + 1st Trimester Ultrasound Workshop (Lecture + Hands-on) - RM 300 [FULL]

Total

Dinner Ticket

Ticket for Accompanying person(s) - RM 230 per ticket

Preferred dietary

Non-Vegetarian

Vegetarian

Others

Please select

Total

Payment Method

Credit card via iPay88

Cash Deposit / Bank Transfer Bank Details

Please select preferred payment method

Importance Notice:

iPay88 payment gateway does not accept Corporate / Business / AMEX / Commercial MASTER / VISA Credit Card type. Only personal credit cards are accepted for all online payments. Ipay88 transaction fee is borne by the participant.

HRDF / HRD Corp Claimable

QUICKLINKS

Online Registration

Faculty

Announcement Download

QUICKLINKS

Bank Account Name:	Perinatal Society Congress
Account Number:	8000510508
Bank Name:	CIMB BANK BERHAD
Branch:	Lot C04-C05, Concourse Level, Petronas Tower 3, Suria KLCC, Kuala Lumpur
Bank Swift Code:	CIBBMYKL