Online Registration


Registration is closed

Delegate Details
Title * : Dr   Prof   Assoc Prof   Mr   Mrs   Ms   Other   
Given name * :
Family name * :
Preferred name on name badge * :
Designation* :
Organisation * :
Address *
:
Postal code :
Country * :
Primary Contact Number* :
Secondary Contact Number :
E-mail * :
Arrival Date
(If you are coming from outside of Singapore)
:
Dietary requirements
(if any)
:
I agree that the email address can be distributed to participants of the event.
* indicates mandatory fields

Categories Early Bird Registration has been closed
Normal Rates
(If paid between 21st to 28th February 2017)
Onsite Rates
Healthcare Professionals(HCP) SGD 500 SGD 600 SGD 650
HCP from Low/Middle
Income Countries*
SGD 380 SGD 480 SGD 500
Local Rates** SGD 300 SGD 400 SGD 450
Additional Person for
Conference Dinner
  (Paid by 20th February 2017 - SGD 80 per person. Onsite Rates - SGD 100 per person.)

* Registration fees do not include accommodation and flight travel

* Registration fee INCLUDE Day 1 Conference Dinner only
  - Delegates must reconfirm attendance of Conference Dinner during registration
.

Categories are based on the World Bank Classification Method:

* Low income/ Low Middle Income Countries are defined according to the World Bank Country Classification. Click here for more information on the country classification data according to the World Bank website

** Only citizens or residents of The Philippines may apply for the local registration category.

Payment

Enclosed is my total payment of SGD to be made through:
Cheque (Payable to Ping Healthcare Pte Ltd)

Please complete this form and mail together with the cheque to:
2nd Asia Dengue Summit (ADS) - Conference Secretariat
20 Sin Ming Lane #06-55 Midview City Singapore 573968
Tel: (65) 6778 5620   Fax: (65) 6778 1372   Email : info@adva.asia

Visa
Mastercard
Telegraphic transfer/Wire Transfer

Account Name: Ping Healthcare Pte Ltd
Account No: 301-304-047-6
Bank Name: United Overseas Bank Ltd Singapore
Bank Address: 80 Raffles Place, UOB Plaza 1 Singapore 048624
Bank Code: 7375
Branch Code: 032
Bank Swift Code: UOVBSGSG

Cancellation Policy

*A 50% refund will be made for withdrawals (received in writing or email) by 31st Jan 2017.
* No refunds will be made thereafter. However, a replacement will be accepted upon prior arrangement at no extra cost. Please inform us of the changes, if any, by email.