Booking Dates ToT - surgical workshop

Booking Dates ToT - surgical workshop
Full Name*

First NameLast Name
Email Address*
example@example.com
Contact Number*
Please enter a valid phone number.
Note:

Please note that choosing a date it doesn't mean the registration is confirmed, if the registration is confirmed you will receive an Email by the ToT team. And be inform that, ToT- surgical workshop require to attend the whole Workshop 1 full day to be able to obtain the CME and the attendance certificate.
Specialty *
Center*
Center Name
City*
SCFHS ID*
Are you (Senior registrar or Consultants) ? *
Did you attend ( ToT On The Go ) Workshop ? *
Please upload your ( ToT On The Go ) Certificate. *

Cancelof
Should be Empty:

Note: