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REGISTRATION FORM

Personal Data

Title *
Last Name (Family Name) *
First Name (Given Name) *
Tax Number
Country *
City *
Address *
Mobile *
E-mail *

Registration

A- Congress
The prices cover the full attendance of the congress (In person or Virtual)
January 28th - 29th, 2022
Rate
(In person)
Rate
(Virtual)
Physicians
1151 AED
769 AED
Residents
769 AED
576 AED
Medical Students
Free
Free
Congress fees will include:
  • Access to the Scientific Sessions
  • Certificate of Attendance
  • Congress Materials (In person)
  • Coffee Breaks & Lunches (In person)
B- Workshops and Courses
Pre-Congress Review Course January 27th, 2022
The price cover the pre-congress review course accessible for Residents attending in person only and excludes the full congress attendance
The prices (In person)
Rate
(Limited place)
Physicians / Residents
1536 AED
Review Course fees will include:
  • Access to the Review Course
  • Certificate of Attendance
  • Congress Materials
  • Coffee Breaks & Lunch
Workshop 28 January, 2022
The price covers the workshops for those attending in person only and excludes the full congress attendance
(In person)
Rate
(Limited place)
Laser (10:00 – 11:30)
769 AED
Dermoscopy (15:00 – 16:30)
769 AED
Workshop 29 January, 2022
The price covers the workshops for those attending in person only and excludes the full congress attendance
Nail Surgery (10:00 – 11:30)
769 AED
Dermatological Surgery (15:00 – 16:30)
769 AED
Workshop fees will include:
  • Access to the Workshop
  • Certificate of Attendance
  • Congress Materials

Hotel Accommodation

Single Occupancy 0AED
Double Occupancy 0AED
*Rates are offered on bed and breakfast basis
Check In Date
Check Out Date
Number of nights

Transfers

Date of Arrival
Time
Flight
Date of Departure
Time
Flight
Airport transfer (270 AED per way)
Yes, One way 270 AED
Yes, Two ways 539 AED
No
Comments
Payment Type
Credit Card *
Bank Transfer

Sub-Total
AED
CC Charges ( Visa/Master 5.5%)
AED
Grand Total
AED
NOTES
For group registration, please contact the registration department:
mirachaptini@infomedweb.com
BANK TRANSFER

Account name: Infomed International for Events SAL Offshore.
Bank Name: Bank of Beirut SAL
Bank Address: Horch Tabet Branch
Beneficiary Address: Sin el Fil, Qubic Centre, 4th Floor.


USD /account number: 11-40Z-44669900
IBAN for USD account number: LB54 0075 0000 0001 140Z 4466 9900


Swift CODE: BABELBBE Bank Branch Code: 0018


For any further information please contact
Infomed International for Events
Congress Organizers
Mrs. Carine Madjarian: +961 1 510881/2/3
E-mail: carine.madjarian@infomedweb.com