Last Name : First Name : Middle Name : Tel/Cel. No : E-mail : PRC No. : PMA No. : image
Units 2201-2203, 22/F One San Miguel Avenue Bldg. San Miguel Avenue cor Shaw Boulevard Ortigas Center, 1605 Pasig
PERSONAL DATA Philippine College of Physicians
REGISTRATION FORM
(Pre-Convention)
Updates on the Prevention, Diagnosis and Management of Tuberculosis
May 5, 2019 9am -3pm Function Room 2, SMX Convention Center
Extension Name : * * * * * * * * PCP No. :
  • Conference is limited to 500 attendees only.

  • Due to the limited availability of seats, registration is on a first-come, first
         served basis.

  • You will receive an email with the payment instruction upon submission of this registration form.
         Only upon receipt of payment will your registration be confirmed. A confirmation email will be sent
         to you accordingly.
  • - If you did not receive an email after submission of the form, please contact
    the PCP Secretariat at (02) 910.2252 to 54 or email: secretariat@pcp.org.ph

    - Conference Fees:
    Category : *
       Residents   PHP 500
       Fellows / Diplomates / Members / Consultants      PHP 700