Conference Registration
Please fill in the form below to register for the conference. Registration is
mandatory and free
.
Prefix:
*
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First Name:
*
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Last Name:
*
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Country:
*
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Mobile:
*
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Email:
*
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Workplace:
*
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JobTitle:
*
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Job Title:
*
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Registration Categories:
*
Doctors (Non-Dermatologists): 35 KD
Pharmacists: 35 KD
Residents: 10.500 KD
Medical Students: 10.500 KD
Nurses: 7 KD
Dermatologists
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Membership status:
*
KSD Member: 14 KD
Non-Member: 28 KD
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Registration Categories:
*
Doctors (Non-Dermatologists): 50 KD
Pharmacists: 50 KD
Residents: 15 KD
Medical Students: 15 KD
Nurses: 10 KD
Dermatologists
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Membership status:
*
KSD Member: 20 KD
Non-Member: 40 KD
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Specialty:
*
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List1:
*
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List1:
*
Topic1
Topic2
Topic3
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Net Amount:
Payment Method:
*
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I hereby confirm that the above information is correct.
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SUBMIT