REGISTRATION FORM Deadline for Early Bird Registration : 31 July 2018 Please return completed form to: Singapore ENT Course Secretariat c/o Barak Conference Consultants Pte Ltd, 10 Anson Road #26-04 International Plaza Singapore 079903 (65) 9783 7711 (65) 6563 1602 SingaporeENTCourses@barakpco.com Please fill in all the compulsory fields denoted by *. REGISTRATION CATEGORIES Registration Rates (Inclusive of GST) Categories Early Bird Fee Standard Fee (On/before 31 Aug 2017) (After 31 Aug 2017) 5th Singapore Advanced Rhinoplasty Fresh Frozen Cadaveric Dissection Course 4 - 7 November 2018 Hands-on Dissector SGD 3,475 SGD 3,975 (Fully Subscribed) Hands-on Assistant SGD 1,900 SGD 2,400 (Fully Subscribed) Observer with Lab Access (Non-assisting) SGD 1,500 SGD 1,800 (Limited to 10 slots only) Observer without Lab Access (Will be able to attend Lectures and see Cadaveric Dissection through video link.) Doctor SGD 800 SGD 1,000 Nurse SGD 400 SGD 500 4th Singapore Facial Rejuvenation Surgery Fresh Frozen Cadaveric Dissection Course 8 - 10 November 2018 Hands-on Dissector SGD 2,975 SGD 3,475 (Limited to 20 slots only) Observer with Lab Access (Non-assisting) SGD 1,200 SGD 1,600 (Limited to 10 slots only) Observer without Lab Access (Will be able to attend Lectures and see Cadaveric Dissection through video link.) Doctor SGD 800 SGD 1,000 Nurse SGD 300 SGD 500 5th Singapore Facial Fracture And Soft Tissue Reconstruction Fresh Frozen Cadaveric Dissection Course 11 - 14 November 2018 Hands-on Dissector SGD 3,475 SGD 3,975 (Limited to 20 slots only) Observer with Lab Access (Non-assisting) SGD 1,500 SGD 1,800 (Limited to 10 slots only)
REGISTRATION FORM Deadline for Early Bird Registration : 31 July 2018 Please return completed form to: Singapore ENT Course Secretariat c/o Barak Conference Consultants Pte Ltd, 10 Anson Road #26-04 International Plaza Singapore 079903 (65) 9783 7711 (65) 6563 1602 SingaporeENTCourses@barakpco.com Please fill in all the compulsory fields denoted by *. REGISTRATION CATEGORIES Categories Registration Rates (Inclusive of GST) Early Bird Fee (On/before 31 Aug 2017) Standard Fee (After 31 Aug 2017) 5th Singapore Advanced Rhinoplasty Fresh Frozen Cadaveric Dissection Course 4 - 7 November 2018 Hands-on Dissector (Fully Subscribed) SGD 3,475 SGD 3,975 Hands-on Assistant (Fully Subscribed) SGD 1,900 SGD 2,400 Observer with Lab Access (Non-assisting) (Limited to 10 slots only) SGD 1,500 SGD 1,800 Observer without Lab Access (Will be able to attend Lectures and see Cadaveric Dissection through video link.) Doctor SGD 800 SGD 1,000 Nurse SGD 400 SGD 500 4th Singapore Facial Rejuvenation Surgery Fresh Frozen Cadaveric Dissection Course 8 - 10 November 2018 Hands-on Dissector (Limited to 20 slots only) SGD 2,975 SGD 3,475 Observer with Lab Access (Non-assisting) (Limited to 10 slots only) SGD 1,200 SGD 1,600 Observer without Lab Access (Will be able to attend Lectures and see Cadaveric Dissection through video link.) Doctor SGD 800 SGD 1,000 Nurse SGD 300 SGD 500 5th Singapore Facial Fracture And Soft Tissue Reconstruction Fresh Frozen Cadaveric Dissection Course 11 - 14 November 2018 Hands-on Dissector (Limited to 20 slots only) SGD 3,475 SGD 3,975 Observer with Lab Access (Non-assisting) (Limited to 10 slots only) SGD 1,500 SGD 1,800
ENT-Courses-2018_Registration-form-Jul-1.docx