SIPPAC 2023 | 11th Singapore Paediatric And Perinatal Annual Congress

REGISTRATION FORM

DELEGATE’S INFORMATION
(Information will be used for Badge and Certificate Printing)

Salutation(Required)

Profession(Required)

Name(Required)

First Last

Designation(Required)

Institution & Dept(Required)

Mailing Address(Required)

MCR No/ SNB Reg No(Required)

Email(Required)

Contact Number

REGISTRATION FEES

(Please tick accordingly)

Category	Full Congress Excluding Workshop
Students (Medical / Nursing)	S$150
Nurses / Allied Health	S$250
Members (SPS / PSS / CPCHS)	S$300
Non-Members	S$350

Category	Pre - Conference Workshop
Members (SPS / PSS / CPCHS)	$150
Non-Members	$200

Attend:(Required)

Full Congress Excluding Workshop

Pre - Conference Workshop

Registration (Full Congress Excluding Workshop):(Required)

Members

Non-Members

Nurses / Allied Health

Students (Medical / Nursing)

Price:

Nurses / Allied Health

Price:

Members (SPS / PSS / CPCHS)

Price:

Non-Members

Price:

Registration (Pre - Conference Workshop):(Required)

Members

Non-Members

Members (SPS / PSS / CPCHS) | Pre - Conference Workshop

Price:

Non-Members | Pre - Conference Workshop

Price:

Total

Mode of Payment(Required)

Cheque or bank draft, in Singapore Dollars, should be crossed and made payable to “Singapore Paediatric Society” and mail it to the following address:
Wizlink Consulting Pte Ltd
Choa Chu Kang Central Post Office,
PO Box 192,
Singapore 916837
Attn: SPS Secretariat
Kindly email a copy of the transaction slip to secretariat@sps.org.sg for verification purpose.

Transfer the payment with bank details as follows:
Bank Account Name: Singapore Paediatric Society
Bank Account Number: 067-000421-3
Name of Beneficiary Bank: DBS
Address of Bank: 12 Marina Boulevard, Level 3 Marina Bay Financial Centre Tower 3, Singapore 018982
Swift Code: DBSSSGSG

Invoice information(Required)

Registration Notes

Your registration will only be confirmed upon receiving your payment. All officiate receipt will be sent to you within 10 working days after receiving your payment.
Cancellation Policy

Request for cancellation/replacement must be made in writing to the Conference Secretariat, latest by 1 June 2023. The organising committee regrets that requests received after this date will not be entertained.

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