REGISTRATION FORM

 Medicine 2010
(Raising the Quality of Education & Care)
March 15-18, 2010 (09-10 Rabi Al Awal 1431H)

Please print clearly. Your Name will appear on your "Certificate" exactly as you spelled on this form.
First Name
Middle Name
Last Name
Title Dr Mr Miss
Name of hospital
Profession
Telephone
Mobile
Email Address
     
Registration Fees:
On line early registration
Onsite registration
Consultants
300 SR
400 SR
Residents. Interns, Nurses, Pharmacists
200 SR
300 SR
Medical Students
100 SR
200 SR
     

Policy:
  1. Registration FEE’s are non transferable and non refundable.
  2. For bank deposit, Original Slip must be submitted to CME Office.
  3. Attendance (signature) is a MUST.
  4. In case of NO Attendance, NO Evaluation or NO Receipt, NO Certificates will be given.
  5. All CERTIFICATES will be distributed at the end of the program on the last day of the activity.
  6. No certificate will be given after the end of the last day of the event.
  7. Unclaimed certificates MAY BE claimed from the designated organizing department a day after the event date.
Mode of Payment:
Cash CPE Office, ATA, 2nd Floor, Academic Bldg., King Fahad Medical City
Bank or ATM  King Fahad Medical City, Account No. SA9620000002480333359940 (Riyadh Bank)
** (Please bring the receipt with you to the Conference Registration Desk to verify your registration and payment)

* I hereby understand the above mentioned policies.

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For more information's, please contact:
CPE Department @ Tel. No. : 01-288-9999 Ext. 4454/7497/4114 Fax No.: 01-288-9000 Ext. 4114
Email: cme@kfmc.med.sa Website: www.kfmc.med.sa