9 May 2015, Saturday Level 7, National Heart Centre Singapore 5 Hospital Drive Singapore 169609 ABOUT THE COURSE The course aims to prepare doctors for any basic or advanced medical examinations. A selection of patients with classical clinical signs, ideal for teaching and examination purposes. Do learn from our faculty of experienced examiners, many of whom have recently passed their MRCP and are eager to share their knowledge with the participants. PROGRAMME PROGRAMME DIRECTOR Dr Lim Choon Pin, Consultant Department of Cardiology 0830 - 0850 Registration 0850 - 0900 Welcome Address 0900 - 0930 Basic Cardiovascular Examination 0930 - 1230 Examination and Review Session 1 1230 - 1330 Lunch 1330 - 1630 Examination and Review Session 2 1630 End Information is valid as of 20 Jan 2015. Organiser reserves the right to make changes to the programme. REGISTRATION (S$280 inclusive of GST) Closing date: 17 April 2015 Name: MCR Number: Hospital: Gender: Male Female Address: Email: Contact Number: I consent to National Heart Centre Singapore and its related corporations (collectively ‘SingHealth’), their agents and SingH ealth’s authorized service providers to collecting, using, disclosing and/or processing my personal data, in order to send me marketing materials on upcoming events. When I like to stop receiving event updates from NHCS, I will email email@example.com. I confirm and agree that my consents granted herein do not supersede or replace any other consents which I may have previously provided to SingHealth in respect of my personal data, and are additional to any rights which Sin gHealth may have at law to collect, use or disclose my personal data. PAYMENT Confirmation will be sent via email upon full payment. Limited for the first 72 registrants, first come first serve basis. Registration fee is non-refundable upon confirmation. By Credit Card MASTERCARD VISA AMERICAN EXPRESS I hereby authorise the PACES for Cardiology Course Secretariat to charge the total amount of SGD __________ to my Card Cardholder’s Name: (as on credit card) Credit Card Number: Expiry Date: (mm/yy) Cardholder’s Signature: Security Number: (Last 3 digits on reverse side of Visa/Mastercard or 4 digits on the front of the card for AMEX) By Cheque Cheque should be crossed and made payable to ‘National Heart Centre of Singapore Pte Ltd’. Please indicate your name, contact number and event title on the back of the cheque and mail to: PACES for Cardiology 2015, National Heart Centre Singapore c/o Corporate Development, 168 Jalan Bukit Merah, Connection One (Tower 3) #06-08, Singapore 150168 For registration and enquiries, please contact: National Heart Centre of Singapore Pte Ltd, Corporate Development tel 6704 2389 / 2381 fax 6278 6193 email firstname.lastname@example.org address 168 Jalan Bukit Merah, Connection One (Tower 3) #06-08, Singapore 150168 By providing the information set out in this form and submitting the same to you, I confirm that I have read, understood and consent to the SingHealth Data Protection Policy, a copy of which is available at http://www.singhealth.com.sg/pdpa. Hard copies are also available on request.
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