Patient Safety Course 2019

Salutation*

Full Name*

First

Last

Designation*

MCR/SNB No.

Profession*

Institution*

Department*

Address*

Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code Country

Phone*

Email*

Registration Fees

Category	Early Bird (Till 18 August 2019)	Normal (From 19 August 2019)
HQSS Members*	SGD$500 After GST: $535	SGD$550 After GST: $588.50
MOHH⁺	SGD$500 After GST: $535	SGD$550 After GST: $588.50
Non-HQSS Members	SGD$650 After GST: $695.50	SGD$750 After GST: $802.50
Group Registration (5 pax and above)	15% Discount	10% Discount

*Member must be with the society for at least 6 months
⁺You May Attend This Seminar for FREE!
For Doctors and Dentist who are employed with MOHH and/or any of the public healthcare institutions under the MOHH Group, this seminar will be funded by MOHH based on your completed attendance!

Registration Fees*

HQSS Member (Early Bird)

MOHH (Early Bird)

Non-HQSS Members (Early Bird)

Total

Mode of Payment*

Cheque / Bank Draft

Bank Transfer

Invoice

Cheque / Bank Draft

Cheque / Bank Draft in Singapore Dollars, should be crossed and made payable to "Healthcare Quality Society of Singapore". Kindly write the delegate's name on the reverse side of the Cheque / Bank Draft and mail the Cheque / Bank draft to our secretariat at the following address:

Healthcare Quality Society of Singapore
c/o Wizlink Consulting Pte Ltd
2 Venture Drive
Vision Exchange, #16-16
Singapore 608526
Attn: Patient Safety Course 2019 Secretariat

Bank Transfer

Bank details will be provided in the acknowledgement email. Payment is to be made within 10 working days. Please indicate delegate's name as reference when doing your remittance.

Invoice Details

Co. / Institution*

Billing Department*

Billing Address*

Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code Country

Contact Person*

First

Last

Contact Email*

Contact No.*

REGISTRATION NOTES

Your registration will only be confirmed upon receiving your payment. An official receipt will be sent to you within 10 working days upon receiving your payment
The organising committee regrets that registration received after 1^st October 2019 might not receive their conference collateral.

CANCELLATION POLICY

Request for cancellation/replacement must be made in writing to the Conference Secretariat, latest by 1^st October 2019. The organising committee regrets that request received after this date will not be entertained.
Please take note that refunds (less 10% for administrative charges) will be issued after the event.

I have read and agreed with the registration notes and cancellation policy*

I have read and agreed with the registration notes and cancellation policy

Registration Fees

UP-COMING EVENTS

Upcoming Course

Contact Us