ICPALM2025

Registration Type: AMM Member (MYR650) Non AMM Member (MYR750) MO/AHP/Student (MYR600) International (USD450)

Salutation --Select Salutation-- Professor Assoc. Prof. Dr. Mr. Mrs. Ms. Dato' Datin' Datuk Dato' Sri Datuk Sri Datin Sri

Full Name

IC / Passport

Organization

Designation

Discipline --Select Discipline-- Genetic Pathology Anatomic Pathology Forensic Pathology Hematology Chemical Pathology Medical Microbiology

Mobile Number

Email

Food --Select Food-- Non-Vegetarian Vegetarian

Payment Type --Select Payment-- Credit Card (Visa/Mastercard) FPX

Malaysian Medical Council (MMC) Number

National Specialist Register (NSR) Number

Academy of Medicine of Malaysia (AMM) Number

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