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REGISTRATION DETAILS

Name :

Address :

Contact Number : -

Email Address :

Food : Vegetarian Non-Vegetarian

Early Bird Registration (On or Before 15th June 2019)

Late Registration (Between 16th June and 12th July 2019)

Delegates : RM 300 MAHSA Alumni : RM 200 Students : RM 100

Delegates : RM 400 MAHSA Alumni : RM 200 Students : RM 100

PAYMENT Payment can be made to the following account:

Beneficiary Name : Malaysian Allied Health Sciences Academy Sdn. Bhd.

Account No : 10-040-001653-6

Bank Name : Affin Bank Berhad Or through online payment https://mahsa.edu.my/epay/online-payment.php

For further enquiries, please contact Assoc. Prof Dr Vivian Fernandez Email : vivian@mahsa.edu.my Tel : 017-3439221. Dr. Haymond Prasad Narayanan Email : drhaymond@mahsa.edu.my Tel : 012-6516484 Please send registration details and receipt of payment to the following : Dr. Haymond Prasad Narayanan Email : drhaymond@mahsa.edu.my Tel : 012-6516484