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...OPEN
7. 14 - 15 Aug 10...coming up

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