Registration Form

Registration Form

••Only for Doctors••
Full Name (As needed in the certificate)

Doctors OnlyFirst NameLast Name
Professional Designation
Name of Institution /Workplace
Clinic/Hospital Name
Emirates
E-mail
abc@example.com
Phone Number
Ex: 050 xxx xxxxFormat: (000) 000-0000.
Nationlity
Sponsored Registration
**Doctors Only**
Payment
prevnext( X )
Registration Fee-Doctors
500.00 AED

Registration Fee-Students
Must Show Student ID @Venue

250.00 AED

Total

0.00 AED
Medecon International sponsored registration for AKMG Members

Attendance is mandatory to receive CME certificate
Should be Empty: