International Medical University, Malaysia  

Home
Programmes
Keynote speaker
Registration Fee
Online Registration
Submit Abstract
Venue

 
Organiser Contact
 
International Medical University
No 126, Jalan Jalil Perkasa 19,
Bukit Jalil, 57000 Kuala Lumpur
Malaysia
 
Contact Persons:
Ms Danielle Ho, Ms Catherine Arokiasamy
Tel : 603 - 2731 7358 / 7270 (Danielle), 03 - 2731 7331(Catherine)
Fax : 603 - 8656 7299
Email : danielle_ho@imu.edu.my, catherine_arokiasamy@imu.edu.my
 
 
Online Registration - Step 1

To register for IMEC 2010, please fill out the following form (* fields are required) and click Continue.

If you are facing difficulties in registering online, please download the form and submit to us by email or fax.
You can also post the form to us.
 
1. Personal Information
   
Title:


* First Name:
* Last/Family Name:
* Gender:
Male Female
* Nationality:
* Organisation:
* Designation:
* Department:
* Name to appear on badge:
* Address1:
Address2:
Address3:
Please check if this is your organisation's mailing address.
* City:
* State/Province/Region:
* Zip/Postal Code:
* Country:
* Phone:
(Country Code) (Phone Number)
Mobile Phone:
(Country Code) (Phone Number)
Fax:
* Email:
Organization's Website (if any):
* Dietary Needs/Preferences:
Vegetarian Non Vegetarian