REGISTRATION FORM

25th PSH Annual Conference 2023

Registration Fee:

Consultant = Rs. 5000/-
PGs, Lab Tech, Nurses & Allied = Rs. 2500/-
Gala Dinner = Rs. 1000/-
Accompany Person = Rs. 2000/each

Bank Details:

Account Title : Pakistan Society of Haematology
Account Number : 0084607010000082
Bank Name : MCB
Branch Name : CMH
Branch Code : 0846
City : Rawalpindi

Registration Status:

for early-bird

Last Date: November 30, 2022

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

Designation

Affiliation

Cell No.

CNIC No.

CPSP ID/Fellowship No./PMDC No.

Registration Fees		Early-bird	Normal
Conference	Consultant	PKR 4000	PKR 5000
Conference	PGs, Lab Tech, Nurses & Allied	PKR 2000	PKR 2500
Gala Dinner	Yes No	PKR 1000
Accompanying(s)	1 2 3 Non	PKR 2000 each
Total Fee to Deposit		PKR

Mode of Payment
Slip No:
Attached Slip Picture (jpg)
Deposit Date