Registration – 5th SIATEC 2019

5th Singapore International Advance Therapeutic Endoscopy Course 2019

Tan Tock Seng Hospital
22 - 24 August 2019

Name*

Gender*

Female

Male

Date of Birth*

day

month

year

Institution*

Department*

Designation*

Address*

Street Address City State / Province / Region Postal / Zip Code Country

Tel*

Fax

Email*

Email confirmation*

Years of Endoscopy Experience*

Therapeutic Endoscopy you have done*

Registration Fees:	SGD 1,070 (Inclusive of Goods and Services Tax at 7%)
Mode of Payment:	Payment is to be made by Credit Card via Paypal. An invoice will be sent to you with a link for payment, once your registration is accepted.
Registration Note:	Seats are limited, and selection of participants are based on Endoscopy experience. Your registration will only be confirmed upon receiving your payment.
Cancellation Policy:	Request for cancellation/replacement must be made in writing to the Secretariat, latest by 16 July 2019. The organising committee regrets that requests received after this date will not be entertained. Please take note that refunds (less 20% for administrative charges) will be issued after the event.

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