Registration

EVENT REGISTRATION

Advanced Lung Diseases Course 2021

ALDC 2021

To increase awareness about Pulmonary Hypertension, Interstitial Lung Diseases, Advanced Emphysaema and Lung Transplantation

Date : July 2nd, 2021

Medium : Online Course

Member Registration

Good Day ,

Thank you for your interest in ALDC 2021. Below is the detail we have from your member’s profile.

1. Review your info:

 

Full Name :
Contact :
Email :
Organization :
Title :
Affiliation / Specialty (if any) :
MMC Reg. No. (Malaysian Only) :

2. Please make payment to MABIP Account.

Registration Fee: RM50

Account Name: MABIP
Bank Name: MAYBANK ISLAMIC BANDAR BARU BANGI
Account No: 562834629606
Swift Code: MBBEMYKL
Registration: PPM-012-03-31122013
Address: No. 7 & 9, Jalan 9/9C, Seksyen 9, Bandar BaruBangi, 43650 Bangi, Selangor, Malaysia
Tel: +603-8926 1105
Fax: +603-8926 1028

3. Info not correct? Please edit below:

Current :
Current :
Change this if you have no access to previous email address. Current :
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