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Registration Form 

 
 


Click here to download registration form

   
 
  • Professional Identification is needed if you require entry visa or to be entitled for the reduced fee

  • For those who require visa, it is advisable to delay payment until you have received visa approval.

  • You may send a copy of your Professional Identification via email or fax.
    (Email: hem1@ngha.med.sa  / Fax No. +9661-2520040)

Personal Information

    * Required Fields
Title:
Prof. Dr.  RN PhD. Ms. Mr.  Mrs.
First Name:   *
Last Name:   *
Organisation:   *
Credentials:  
Specialty:   If Other Pls Specify :*
Position:  
P.O.Box:  
City:  
Postal Code:   *
Country:   *
Telephone:   * Ext.
Mobile:  
Fax:  
Email:   *
   * Required Fields

Registration Fees

 
 Registration Fees Category  On-Site Registration
 Physician  SR 500
 Student/Resident/Non Physician  SR 300
   

   

Payment Details

 


Payment Method:
   Either cash or direct deposit: Full payment is required for admission to the conference

Deposit the fees in the following account number and fax a copy of your cheque or receipt to +9661-2520040.

Account Name: ESC/Academic Affairs
Account No.: 01008052089116
Address: Arab National Bank
Khasmalaan Branch
P.O. Box 87139
Riyadh 11642, KSA
Branch Code: 133
Swift Code: ARNBSARI
 

Conference Registration. Participants are requested to confirm their intention to attend as soon as possible by completing the Conference Registration Form and send it by fax to +9661-2520040. Attendees can register online at www.saudihematology.org. Onsite registration will be available in the venue, King Fahd Cultural Center on Monday, 19 March 2007.

  • You will receive the detailed agenda and additional information upon receipt of your registration form.

  • REGISTRATION FEES MUST BE PAID IN ADVANCE.

Cancellation
To cancel your registration, you must submit your cancellation request in writing via fax or email. Cancellation will not be accepted by telephone. Fax or email date will determine the amount of refund using the following:
 

At least 30 days before conference

Full refund

At least one week before conference

50 % refund

Otherwise No refund
 
 
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