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33rd Malaysia-Singapore Joint Ophthalmic Congress 2018
Hatten Hotel, Malacca, Malaysia
16-18 March 2018

CONGRESS REGISTRATION FORM
Title: Prof Assoc Prof Dr Mr Ms Others:
Full Name:
Institution/Company:
Address:
Country:
Phone:
Fax:
Mobile:
Email:
Welcome Dinner: Tick to indicate that you are attending the Welcome Dinner on 17 March 2018 (Saturday)
Dietary Requirements: Tick to indicate vegetarian meals are required
REGISTRATION FEES
Category By 15 Jan 2018 After 15 Jan 2018  
MSO members (subsidised rates)
Ophthalmologists RM 550 RM 650
-
Medical Officers/Trainees *
RM 450 RM 500
-
Non-members
Ophthalmologists (USD 200) RM 860 (USD 225) RM 980
-
Medical Officers/Trainees * (USD 170) RM 730 (USD 200) RM 860
-
Trade Delegates RM 650 RM 750
-
Paramedics
1-day registration on 16 Mar 2018
RM 150 RM 250
-
Paramedics
Full meeting - 16 to 18 Mar 2018
RM 450 RM 500
-
Extra dinner seats x RM 80 RM 150
-
  Total
-
* Certification by Head of Department is required
    Notes:
  • All rates are inclusive of 6% GST
  • Malaysian Ophthalmologists, Medical Officers and Trainee are entitled to collect CPD points (terms and conditions apply)
  • Trainees can apply for reimbursement of their registration fee from the MMA Foundation Eye Fund if their abstract is accepted.
    Terms:
  1. Complete this form in CAPITAL letters.
  2. Registration will only be confirmed once payment is received.
  3. No refunds or cancellations. However, a substitute delegate may be nominated with secretariat approval.
  4. Registration fees include tea breaks, lunch, meeting materials, certificate of attendance, entry to Trade Exhibition and Welcome Dinner at Equatorial Hotel Melaka (only for 3 days delegates).
PAYMENT SUMMARY

Please indicate your preferred method of payment

Credit Card

Payment to be made via iPay88

Bank-in/Telegraphic Transfer

Payee: MSO Events
Bank a/c no. : 5641-9156-4328
Bank Address : Malayan Banking Bhd
No. 62-66, Jalan SS21/35
Damansara Utama
47400 Petaling Jaya
Selangor, Malaysia
Bank Swift Code : MBBEMYKL

SECRETARIAT
MALAYSIAN SOCIETY OF OPHTHALMOLOGY
TST 26, Pejabat Pos Damansara Jaya, Selangor, Malaysia
GST Number : 00040217808
HP: +6 017-866 8522 (Sora) / +6 018-949 4920 (Shirley)
Tel: +603-2096 9656 (c/o EventsMastery)
Fax: +603-2096 9797 (Attn: EventsMastery)
Email: mso@eventsmastery.com
VERIFICATION