AGSM 2022 Overview
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AGSM
Registration Form
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Registration Details
Title
Prof.
Dr.
Mr.
Mrs.
Ms.
Sr.
Surname/Last Name
*
Other Names
Phone Number
*
Email
*
Institution
*
Job Title
*
Town/City
*
Region
*
PSG Membership Type:
Full Member
Associate member
International member
Honorary member
Panelist/ guest
Sponsor
Non member participant
Would you need an MDC/NMC Participation Certificate?
*
Please note the certificate will cost Ghc 50. The mount must be paid to confirm receipt of the certificate.
Yes
No
Provide your MDC/NMC Registration Number
Payment for Certificate:
*
Certificates will only be printed for persons who make payment
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
Submit Form
