10th International Scientific Meeting of RCOG

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Workshop Registration

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A. PERSONAL DETAILS

1. Title

2. First Name

3. Last Name

4. Specialty

5. Designation

6. Institution/Organisation

7. Address

8. City

9. Postcode/Zip Code

10. Country

11. Email Address:

12. Confirm Email:

13. Mobile Telephone No.

(including country code)

14 Office Telephone No.

(including country and area codes)

15. Fax No.

(including country and area codes)

16.

Are you a Fellow or Member of RCOG ?

Yes No

B. PRE-CONGRESS WORKSHOPS

PRE-CONGRESS WORKSHOPS		PRICE
	Managing Obstetric Emergencies - Nursing Workshop Tuesday, 5 June 2012. Venue: College of Allied Health Sciences, Kuching	MYR200.00
	Contraception: Recent Advances and their Use in Patients with Co-Morbid Factors Tuesday, 5 June 2012. Venue: Pullman Kuching Hotel	MYR200.00
	Patient Safety, Risk Management and the Legal Implications of Obstetric Practice Tuesday, 5 June 2012. Venue: Pullman Kuching Hotel	MYR200.00
	Robotic and Laparoscopic Workshop: Exploring New Frontiers Tuesday, 5 June 2012. Venue: Kuching Hospital Hands-on participation will be limited and selection based on a first-come first-served basis	MYR450.00
	BJOG Workshop: How to Get Your Paper Published Tuesday, 5 June 2012 Venue: Pullman Kuching Hotel	MYR200.00

Data Protection Statement The RCOG takes Data Protection seriously and adheres to UK Data Protection legislation which governs the collection and management of personal information. We will not pass on your personal data to any third parties. Subsequent to this event, the RCOG will use your contact details to provide you with copies of conference materials and to solicit feedback on the event itself. The RCOG may also wish to inform you of subsequent Scientific Meetings. To read the RCOG's full data protection policy please click here
If you consent to the RCOG using your contact details in the ways described above, please indicate consent below:
	I hereby consent to the RCOG contacting me with details of future RCOG events and abstract submissions of this type.
	I hereby consent to the RCOG sending me information concerning the services provided by the College and the benefits of membership.

Confirm and proceed to Workshop Registration Submission

For further information, please contact:

RCOG 2012 Congress Secretariat
A Working Title Events Sdn Bhd
E-3-14, Block E, Plaza Damas
Jalan Sri Hartamas 1
50480 Kuala Lumpur, MALAYSIA
Tel: +603 6201 1858
Fax: +603 6201 1850
Email: registration@rcog2012.com

Copyright RCOG 2012 © 2010 - 2012 The Congress Secretariat, Obstetrical & Gynaecological Society of Malaysia. All Rights Reserved.
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