FSSCO 2020
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REGISTRATION FORM
Early Bird Registration Deadline :
5 January 2020
Registration Deadline :
14 February 2020
Please complete all fields denoted by *.
REGISTRATION CATEGORIES
*
Indicates required field
HANDS-ON OPTIONS
No. of Courses to Register
*
Please select
1 Course
2 Courses: 5% Discount
3 Courses: 10% Discount
4 Courses & Above: 15% Discount
(HO) Rhinology Course: 24 - 25 Feb 2020
*
Please select
N.A
(HO) Facial Plastic Surgery Course: 26 - 27 Feb 2020
*
Please select
Hands-on: SGD 900.00
N.A
(HO) Head & Neck Surgery Course: 28 - 29 Feb 2020
*
Please select
Hands-on: SGD 900.00
N.A
(HO) Microlaryngeal & Laser Course: 1 Mar 2020
*
Please select
Hands-on: SGD 450.00
N.A
(HO) Otology & Neuro-otology Course: 2 -3 Mar 2020
*
Please select
N.A
OBSERVATION OPTIONS
*Please select "N.A" if you are not registering for Observation.
(O) Rhinology Course: 24 - 25 Feb 2020
*
Please select
Observation (24 Feb 20): SGD 90.00
Observation (25 Feb 20): SGD 90.00
Observation (24- 25 Feb 20): SGD 180.00
N.A
(O) Facial Plastic Surgery Course: 26 -27 Feb 2020
*
Please select
Observation (26 Feb 20): SGD 90.00
Observation (27 Feb 20): SGD 90.00
Observation (26 - 27 Feb 20): SGD 180.00
N.A
(O) Head & Neck Surgery Course: 28 - 29 Feb 2020
*
Please select
Observation (28 Feb 20): SGD 90.00
Observation (29 Feb 20): SGD 90.00
Observation (28 - 29 Feb 20): 180.00
N.A
(O) Microlaryngeal & Laser Course: 1 Mar 2020
*
Please select
Observation (1 Mar 20): SGD 90.00
N.A
(O) Otology & Neuro-otology Course: 2 -3 Mar 2020
*
Please select
Observation (2 Mar 20): SGD 90.00
Observation (3 Mar 20): SGD 90.00
Observation (2 - 3 Mar 20): SGD 180.00
N.A
PARTICULARS
Title
*
Please select
Prof
A/Prof
Dr
Mr
Ms
First Name
*
Last / Family Name
*
Preferred Name on Namebadge
*
Preferred Name on Certificate
*
Designation
*
Department
*
Institution
*
Country
*
Contact No. (Mobile)
*
Email
*
MCR No. (Registered Local Doctors)
*
PAYMENT
Payment Mode
*
Cheque / Bank Draft
Telegraphic / Bank Transfer
Cheque / Bank Draft No.
*
Telegraphic Transfer Reference No.
*
Submit