REGISTRATION FORM

HAEMCON2020 (22nd PSH Annual International Conference 2020) Lahore

Registration Status:

OPEN

Important Note:

Only ATM/Bank Deposit/Mobile Banking will be accepted. For any query please call at +923225181302 or email on psh.org.pk@gmail.com

Full Name

Gender

CNIC Number

PSH Membership Reg No (Click here to find your registration number)

PMDC Number

Present Institution

Mobile Number

City

Please enter your complete address

Registration Fees		Normal
Conference	Consultant	PKR 9000
Conference	PGR/MLT/Nurses	PKR 4000
Accompanying(s)	1 2 3 Non	PKR 2000 each
Total Fee to Deposit		PKR

Bank Details:

Account Title: Pakistan Society of Haematology
Account Number: 0100-8010-1000-9802
Bank Name: MCB
Branch Name: Gulab Davi Hospital
Branch Code: 1008
City: Lahore

Payment Detail:

Slip No:
Attached Slip Picture (jpg):
Deposit Date: