Pendaftaran Online Konferens
Name
:
IC Numbers
:
E-mel
:
Vegetarian/Non Vegetarian
:
Office Tel
:
Mobile Tel
:
Place of Work
:
City
:
State
:
Johor
Kedah
Kelantan
WPKuala Lumpur
WPLabuan
Melaka
Negeri Sembilan
Pahang
Perak
Perlis
Pulau Pinang
WPPutrajaya
Sabah
Sarawak
Selangor
Terengganu
Payment Mode
:
Medical Assistants Registration No.
:
(In Accordance with the Medical Assistants (Registration) Act 180, 1977 & Medical Assistants Regulation (Registration)1979 - Revised 1985, A621)
Saya Bersetuju untuk mematuhi apa-apa Bayaran dan Peraturan seoanjang Konferens berlangsung.
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