WORKSHOP DATES

ONLY 12 PLACES -
PLEASE REGISTER EARLY !

1. 24 - 25 Nov 07 
2. 28 - 29 Jun 08
3. 27 - 28 Sep 08
4. 25 - 26 Apr 09
5. 22 - 23 Aug 09
6. 17 - 18 Apr 10
7. 14 - 15 Aug 10...OPEN

Course Directors

Clin Prof Ian Hammond
Gynecologic Oncologist,
King Edward Memorial Hospital for Women, WA

Dr Jeffrey Low
Gynecologic Oncologist,
National University Hospital, Singapore

(click here to download a PDF copy)

Name: _________________________________________________________

MCR: __________________________ Tel: ____________________________

Mobile:_________________________ Email: __________________________

Clinic / Institution: ________________________________________________

Address : _______________________________________________________

Postal Code: ____________________________________________________

(   ) I have been immunized against tetanus

Workshop Dinner :

(   ) Yes      (   ) No

Dietary preference :

(   ) Muslim (   ) Vegetarian (   ) Other ________________________

Registration Fee: "Early Bird" Discount (> 6 weeks prior to workshop) - SGD $1,800
Full Registration Fee - SGD $2,300

Enclosed a crossed cheque / bank draft in Singapore Dollars made payable to "National University of Singapore", and send with this Registration Form to:

The Secretariat
"The Anatomy of Complications Workshop"
Department of Obstetrics & Gynaecology
National University Hospital
5 Lower Kent Ridge Road, Singapore 119074

Tel: (65) 6772 2682   Fax: (65) 6779 4753

Email: obgacw@nus.edu.sg
 

Copyright 2008 ACW Singapore. All Rights Reserved.
Last modified on 30 October, 2009 by Department of Obstetrics & Gynaecology