MHRS Summit 2023 | Self Register

Registration for MHRS Summit 2023

Full Name (as per NRIC/ Passport)

Family Name / Surname

Place of Practice

Address

Postal / Zip Code

State / Province

City

Mobile Number

Phone Number

Fax Number

Name to appear on e-certificate

NRIC (for Malaysia CPD Points)

Dietary Preference

Normal

Vegetarian

Select your occupation

I'm Malaysian Doctor - RM318

I'm Malaysian Paramedic - RM159

I'm International Delegate - USD318

Registration will only be confirmed upon the receipt of FULL registration fee.

* Fee stated above excludes Government taxes, levies or charges. Any taxes, levies or charges which may be introduced & subjected in accordance with Malaysian Government Legislation will be additional to the prices quoted.

** Self paying rates.

Upload Receipt

I hereby declare that the information provided is true and correct.

Kindly make the registration fees payment via JomPAY as per following details: