REGISTRATION ASCPALM

PARTICIPANT DATA - PAYMENT TEST
Indonesian Participant Registration
FULL NAME & TITLE*
PROFESSION*
Medical Specialist
PARTICIPANT EMAIL*
This email will be used for registration process
PHONE NUMBER*
ADDRESS*
CITY*
PROVINCE*
COUNTRY*
UNIVERSITY / INSTITUTION*
TIKET SYMPOSIUM & WORKSHOP*
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SYMPOSIUM - Clinical Pathologists/ Other Specialists2,000,000.00IDR

WORKSHOP - Blood Bank and Transfusion Medicine2,000,000.00IDR

WORKSHOP - Infectitious Disease and Microbiology2,000,000.00IDR

WORKSHOP - Clinical Hematology2,000,000.00IDR

WORKSHOP - Clinical Chemistry2,000,000.00IDR

PAYMENT TEST10,000.00IDR
TEST PAYMENT

Total 0.00IDR
PAYMENT CHECK*
Should be Empty: