AGSM 2022 Overview
Register for AGSM
Download Conference Brochure
Contact Us
✕
AGSM Registration Form for
Non-PSG Members
If you are human, leave this field blank.
Payment Confirmation
*
Which Conference(s) Will you be participating in?
*
Pre-conference only
Main Conference only
Both Pre and Main Conferences
Payment Instructions - Pre conference only
Pre-Conference Only:
Amount to be paid: -
Ghc 100
Payment Instructions.
Send the fee amount to MTN
mobile number
059 148 3742
(Name on Account:
Paediatric Society of Ghana
);
Enter your
surname and AGSM2022
as
the Reference
for the transaction
When payment has been completed, note
the transaction ID and use it to complete this registration form
Payment Instructions -Main conference only
Main Conference Only:
Amount to be paid: -
Ghc 50
Payment Instructions.
Send the fee amount to MTN
mobile number
059 148 3742
(Name on Account:
Paediatric Society of Ghana
);
Enter your
surname and AGSM2022
as
the Reference
for the transaction
When payment has been completed, note
the transaction ID and use it to complete this registration form
Payment Instructions -Both Pre and Main conference
Pre and Main Conference:
Amount to be paid: -
Ghc 150
Payment Instructions.
Send the fee amount to MTN
mobile number
059 148 3742
(Name on Account:
Paediatric Society of Ghana
);
Enter your
surname and AGSM2022
as
the Reference
for the transaction
When payment has been completed, note
the transaction ID and use it to complete this registration form
Enter Payment Confirmation Details
Mobile Money Transaction Name
*
Mobile Money Transaction ID
*
Personal Info
*
Registration Details
Title
*
Prof.
Dr.
Mr.
Mrs.
Ms.
Sr.
Surname/Last Name
*
Other Names
Phone Number
*
Email
*
Institution
*
Job Title
*
City / Town
*
Region
*
Would you need an MDC/NMC Participation Certificate?
*
Yes
No
Provide your MDC/NMC Registration Number
Submit Form
