Online Registration


Online Registration Closed

Delegate Details
Title * : Dr   Prof   Assoc Prof   Mr   Mrs   Ms   Other   
Given name * :
Family name * :
Preferred name on name badge * :
Designation* :
Organisation * :
Address *
:
Postal code :
Country * :
Primary Contact Number* :
Secondary Contact Number :
E-mail * :
Arrival Date
(If you are coming from outside of Singapore)
:
Dietary requirements
(if any)
:
I agree that the email address can be distributed to participants of the event.
* indicates mandatory fields

Pre Congress Workshop (Registration Full)
17 to 18 August, 2017


* All rates are in SGD
Categories Early Bird Fee
(on/ before 14 May 2017)
Normal Registration
(after 14 May 2017)
On-site Registration
Workshop SSR/MSR Member Non Member SSR/MSR Member Non Member SSR/MSR Member Non Member
Specialist $250 $300 $300 $350 $350 $400
Allied Healthcare Professionals $150 $200 $250
Student/ Trainee $150 $200 $200 $250 $250 $300
Not Joining Workshop $0
* Please submit verification letter if you are a student/trainee

Main Conference
18 to 20 August, 2017


*Pre Congress Workshop registration is full, please click "not joining workshop" option in the above section to continue registration for Main Conference.

* All rates are in SGD
Categories Early Bird Fee
(on/ before 14 May 2017)
Normal Registration
(after 14 May 2017)
On-site Registration
Main Meeting SSR/MSR Member Non Member SSR/MSR Member Non Member SSR/MSR Member Non Member
Specialist $300 $350 $350 $400 $400 $450
Allied Healthcare Professionals $200 $250 $300
Student/ Trainee $200 $250 $250 $300 $300 $350
Not Joining Main Conference $0
* Please submit verification letter if you are a student/trainee
 

Payment

Enclosed is my total payment of SGD to be made through:
Cheque (Payable to Ping Healthcare Pte Ltd)

Please complete this form and mail together with the cheque to:
18th SSR-MSR 2017 Secretariat
20 Sin Ming Lane #06-55 Midview City Singapore 573968
Tel: (65) 67785620   Fax: (65) 6778 1372  
Email : ssr-msr2017@pinghealthcare.com

Visa
Mastercard
Telegraphic transfer/Wire Transfer

Account Name: Ping Healthcare Pte Ltd
Account No: 301-304-047-6
Bank Name: United Overseas Bank Ltd Singapore
Bank Address: 80 Raffles Place, UOB Plaza 1 Singapore 048624
Bank Code: 7375
Branch Code: 032
Bank Swift Code: UOVBSGSG

Cancellation Policy

*A 50% refund will be made for withdrawals (received in writing or email) by 31st May 2017.
* No refunds will be made thereafter. However, a replacement will be accepted upon prior arrangement at no extra cost. Please inform us of the changes, if any, by email.