2nd SAFETYNET Scientific Conference Registration Form

2nd SAFETYNET Scientific Conference Registration Form
Attendee Information

Please fill name and contact information of attendees.
Name Prefix*
Name to be printed on the Certificate of Attendance*
Name to be printed on the Conference Badge*
Email Address*
example@example.com
Mobile Number WITH Country Code*
Your Nationality?*
Current Institutional Affiliation*
Have you been or are currently affiliated with any FETP Program?*

YesNo
Name of FETP*
Host Institution of FETP*
Country or Territory where FETP is based*
Type of Program*

HumanAnimalOne Health
Level of the Program*

AdvancedIntermediateFrontline
Type of Participant*

FETP Program DirectorFETP Faculty / MentorFETP Fellow / Trainee / StudentFETP AlumniOther
Interactive Learning Sessions
Are you interested in signing up for the Interactive Learning Sessions on September 22, 2025?*

YesNo
The Interactive Learning Sessions (ILS) are scheduled on September 22, 2025. There are eleven (11) pre-conference workshops scheduled. Please visit the conference website for more details. You can choose ONE (1) of the Available ILS from the list below.

Acceptance to a workshop is subject to the availability of slots at the time of your registration for the ILS.

Please note that all interactive learning sessions are free.

All-day ILS are from 8:30 AM to 5:30 PM;
Morning (AM) ILS are from 8:30 AM to 12:30 PM
Afternoon (PM) ILS are from 1:30 PM to 5:30 PM
Interactive Learning Sessions*
Conference Registration Fee

The conference registration fee is USD 500 for foreign participants and MYR 1,800 for Malaysian participants. Sponsored participants should obtain their sponsor code from their respective sponsors, e.g. SAFETYNET, Malaysian MOH. Only payments in USD currency will be accepted for individual online payments. Other individual paying participants may pay on-site in USD (foreign participants) or MYR (Malaysian participants).
Payment Options*
Name of Sponsor*
Provide Sponsor Code*
Thank you for completing the registration form.

Go to the registration desk on site on September 22 to pick up your badge and conference kit.
Your registration is complete and now confirmed.

Please pay the registration fee USD 500 or MYR 1,800 onsite on September 22 to get your badge and conference kit at the registration desk.
Please pay the registration fee USD 500.00 through the paypal site that appears after submitting the form in order to finalize your Online Payment.

Send a screenshot of the payment confirmation for faster confirmation at conference@safetynet-web.org
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2nd SAFETYNET Scientific Conference Registration Form

Attendee Information

Interactive Learning Sessions

Conference Registration Fee