WORKSHOP ONLINE REGISTRATION FORM

WORKSHOP ON MAMMOGRAMS AND ULTRASOUNDS - ONLINE REGISTRATION FORM

Breast Cancer Awareness Month - October, 2024
Workshop on Mammography on Saturday Oct 12th , 2024 (9:00 am to 01:00 pm)
Workshop on Breast ultrasound on Thursday Oct 17th, 2024 (9:00 am to 01:00 pm)

NOTE: The registration fee is Rs. 2000/- per workshop (1) & Rs. 3500/- for both workshops

TITLE

NAME

EMAIL

MOBILE NUMBER

DEPARTMENT (AFFILIATION)

INSTITUTION

CNIC NUMBER * (13 Digit Without '-' or Spaces)

i) WORKSHOP ON BREAST ULTRASOUND

PAYMENT INFORMATION

PLEASE NOTE: THE REGISTRATION FEE IS RS. 2000/- PER WORKSHOP (1) & RS. 3500/- FOR BOTH WORKSHOPS (2)

TOTAL PAYMENT

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Visa/Master Cards