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PRE-REGISTRATION: ARRHYTHMIA CLUB / ECHO CLUB / ANGIO CLUB 2018 - REGISTRATION CLOSED (9/4/2018)
For further enquiries please contact NHAM Secretariat at +603 7931 7900 or email to
secretariat@malaysianheart.org
PRE-REGISTRATION DEADLINE: 5 APRIL 2018 (STRICTLY NO WALK-INS)
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Email
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Your email
Full Name (required for CPD points)
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NRIC (complete NRIC required for CPD points)
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Contact Number (Mobile)
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Category
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Medical Doctor
Paramedic / Allied Health
Industry
Hospital / Institution
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Membership Status
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NHAM Member - FREE ADMISSION TO ANY CLUB (membership fee must be up-to-date)
**NON-NHAM Member - RM 106 (iclusive 6% GST) for admission PER CLUB
I wish to attend (you may tick more than one club)
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NHAM-Arrhythmia Club Meeting @12 April 2018, 1830-2100 (Gallery, Level 8, Le Meridien KL)
Echo Club Meeting @12 April 2018, 1830-2100 (Parry Room, Level 6, Le Meridien KL)
AngioClub Meeting @13 April 2018, 1800-2000 (Parry 2, Level 6, Le Meridien KL)
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CONFIRMATION OF REGISTRATION
A confirmation email will be sent to you to confirm your registration for the above.
PAYMENT INFORMATION
**NON-NHAM Member - Secretariat will email to advise on payment. Payment is accepted via JomPAY & cheque deposit before 5 APRIL 2018. A confirmation email will be sent to you once we receive the full payment.
A copy of your responses will be emailed to the address you provided.
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