MPA ANNUAL CONGRESS Marginalised Children - Addressing the Needs Leaving No Child Behind Towards SDG - The Malaysian Paediatric Association
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MPA ANNUAL CONGRESS Marginalised Children - Addressing the Needs Leaving No Child Behind Towards SDG 5th - 8th September 2018 Ipoh Convention Centre Perak, Malaysia Final Announcement
5th - 8th September 2018 ¦ Ipoh Convention Centre, Perak, Malaysia TABLE OF CONTENTS PAGE Important Dates & Contact Information 1 Welcome Address 2 Committees 3 Scientific Programme 4-5 Programme at a Glance 6 Faculty 7 Congress Information 8 Registration Information 9 - 10 Call for Abstract 11 Meeting Venue and Hotel Reservations 12 IMPORTANT DATES Pre-Congress : Wednesday, 5th September 2018 Main Congress : Thursday, 6th September to Saturday, 8th September 2018 Last day for Early Registration : Saturday, 30th June 2018 Last day for Receipt of Abstracts : Saturday, 30th June 2018 CONTACT INFORMATION Congress Venue Address : Ipoh Convention Centre (ICC) JPT 254557, Jalan Sultan Abdul Jalil Greentown, 30450 Ipoh, Perak Tel : 605-220 0000 Fax : 605-220 0010 Email : enquiry.iccp@gmail.com Website : www.facebook.com/ipohconventioncentre MPA Secretariat Address : Malaysian Paediatric Association 16-07, 16th Floor, Menara Arina Uniti 97, Jalan Raja Muda Abdul Aziz 50300 Kuala Lumpur, MALAYSIA Tel : 603-2202 7099 Fax : 603-2602 0997 Email : mpaeds@gmail.com Website : mpaeds.my 1
Marginalised Children - Addressing the Needs MPA ANNUAL CONGRESS 2018 Leaving No Child Behind Towards SDG WELCOME ADDRESS Assalamualaikum and Greetings from the Malaysian Paediatric Association (MPA). On behalf of the MPA & the organising committee, it gives me great pleasure to invite you to our 40th MPA Annual Congress from 5th - 8th September 2018 at the Ipoh Convention Centre, Perak. The congress theme is “Marginalised Children - Addressing The Needs. Leaving No Child Behind Towards SDG.” Our focus on hard core paediatrics has not infrequently sidelined our attention to the needs of marginalised children. As advocates for the rights and welfare of every child we must rectify this imbalance. Thus the choice of this year congress theme on our 40th anniversary. Gen-J paediatricians, Datuks Zulkifli, Amar and their committee of Gen-Y paediatricians will make sure that both the Millennial MOs, trainees, nurses and Jurassic paediatricians would be dumbstruck by the multiple issues besetting the marginalised child. And part of the failures, I am afraid lies within our fraternity! It is time we address the needs of the marginalised child promptly and equitably and leave no child behind in our march towards the Sustainable Development Goals (SDG). Experts from international health agencies, key NGOs, academia and community paediatricians will share their insights into the issues of marginalised children and strategise the way forward. Notwithstanding, there will be hard core paediatrics discussing endocrinology, immunology, vaccinology, palliative paediatrics, pain management, neurology and developmental paediatrics! Since its our 40th year, you can look forward to both a scintillating scientific programme and a most exhilarating social programme. And to make it even more enjoyable and celebratory, DYMM Raja Permaisuri Perak has consented to grace our opening ceremony. Our MPA Congress Dinner promises to be like last year’s fun affair at Shangri La - even better our Ipoh-mari guys promise! And don’t forget to find time, to explore the beautiful city of Ipoh and her surroundings. Jumpa di-Ipoh Muhammad Yazid Jalaludin President Malaysian Paediatric Association (MPA) 2017-2019 2
5th - 8th September 2018 ¦ Ipoh Convention Centre, Perak, Malaysia COMMITTEES Organising Committee Organising Chair : Muhammad Yazid Jalaludin Local Organising Chair : Noor Khatijah Nurani Scientific Chairs : Zulkifli Haji Ismail, Amar Singh Secretary : Tang Swee Fong Treasurer : Musa Mohd Nordin Publication : Soo Thian Lian, Thiyagar Nadarajaw, Hung Liang Choo Audiovisual : Selva Kumar Sivapunniam, Mohamad Ikram Ilias Scientific Committee Members : Khoo Teik Beng, Ong Eng Joe, Husna Musa, Priya Lakshmy, Soo Thian Lian, Zahilah Filzah Mohd Zulkifli Congress Secretariat : Saadiah Ahmad, Anita Ahmad Isa, Noorfaridah Bajuri 3
Marginalised Children - Addressing the Needs MPA ANNUAL CONGRESS 2018 Leaving No Child Behind Towards SDG SCIENTIFIC PROGRAMME PLENARY SESSIONS Keynote Address 1: Ensuring Quality Healthcare for Marginalised Populations Keynote Address 2: Ensuring Inclusive Education for Children with Special Needs P1: The Paediatrician and The Law P2: De-Institutionalisation of Children P3: The Invisible Child (Stateless, Street Kids, Immigrants) SYMPOSIA SESSIONS S1: Children in Conflict Regions and Children in Disaster Areas S1.1: Common Paediatric Problems Faced by the Humanitarian Doctor S1.2: The Psychological Needs S1.3: The Paediatrician as a Humanitarian Worker S2: Children with Psychosocial Issues in the Community S2.1: Depression and Suicide S2.2: Gender Dysphoria S2.3: Bullying S3: Clinical Immunology S3.1: PID in Malaysia Over 3 Decades: Perspectives & Progress S3.2: Evaluation of Patients with Recurrent Infections S3.3: Issues with Immunoglobulin Replacement Therapy in PID S4: Paediatric Palliative Care - Improving Care for Children with Life-Limiting Diseases S4.1: Palliative Care, Adding Value to your Patient’s Care S4.2: Challenging Communication in Paediatric Palliative Care S4.3: Honouring Patient’s Wishes S5: Autism Spectrum Disorders S5.1: Detecting the Child with Autism - Are We Overdiagnosing It? S5.2: Autism Regression S5.3: Different Treatment Modalities in the Child with Autism - The Evidence S6: The Child with Severe Neurodisability S6.1: Burden and Priorities of Caregivers of a Child with Severe Cerebral Palsy S6.2: Role of the Paediatrician in Caring for the Child with Severe Neurodisability S6.3: Interventions that could Make a Difference S7: Children in Urban Poverty S7.1: Stateless Children S7.2: Looked-After Children S7.3: Child Labour S8: Supporting Our Immigrant Children S8.1: Immigrant Children in Sabah - The Medical Challenges S8.2: Children in Detention Camps S8.3: Street Children S9: Marginalised Medical Conditions S9.1: Paediatric and Congenital Heart Disease S9.2: HIV in Children S9.3: Chronic Lung Disease 4
5th - 8th September 2018 ¦ Ipoh Convention Centre, Perak, Malaysia SCIENTIFIC PROGRAMME S10: Indigenous Children S10.1: The Real Situation S10.2: The Penan Child S10.3: The Way Forward S11: The Abused Child S11.1: Support from the Child Act S11.2: Child Brides S11.3: Gaps in the Child Protection System S12: Nutritional Needs S12.1: Feeding the Child with a Chronic Disability S12.2: Feeding the Child with Sensory and Behavioural Issues S12.3: Re-Feeding Programme for the Indigenous Child S13: Rare Diseases S13.1: Rare Disorders in Malaysia: Overview S13.2: Rare Diseases and Management: Challenges and Opportunities S13.3: Support Groups for Rare Disorders in Malaysia: Psychosocial Issues and the Way Forward S14: The Child with Learning Disorders S14.1: Choosing the Right School - Which Box do I Tick (The Doctor’s Perspective) S14.2: Choosing the Right School - Which Box Should you Tick (The MOE’s Perspective) S14.3: Community-Based Educational Resources S15: Hearing Impairment S15.1: Epidemiology of Hearing Impairment Among Malaysian Children S15.2: Assessment and Prescribing Hearing Aids S15.3: Cochlear Implant MEET-THE-EXPERT SESSION MTE 1: Case Studies in Clinical Immunology MTE 2: Managing the Child with ADHD MTE 3: Difficult-To-Manage Epilepsies MTE 4: Approach to the Stunted Child PRE-CONGRESS WORKSHOP PC1: Paediatric Endocrinology for General Paediatricians (Limited to 50 participants only on first come first basis) PC2: Kangaroo Mother Care (KMC) (Limited to 50 participants only on first come first basis) PC3: Child Protection (Limited to 50 participants only on first come first basis) PC4: Managing Pain in Children (Limited to 60 participants only on first come first basis) PUBLIC FORUM Children with Special Needs - For Parents and Educators 5
PROGRAMME AT A GLANCE Date Wednesday Thursday Friday Saturday Time 5 September, 2018 6 September, 2018 7 September, 2018 8 September, 2018 0700 - 0800 Meet-The-Expert 1 & 2 Registration Meet-The-Expert 3 & 4 Plenary 1 0800 - 0900 Keynote Address 1 Keynote Address 2 MPA ANNUAL CONGRESS 2018 Young Investigator Award 0900 - 1000 Symposia TEA BREAK Opening Ceremony 10 - 12 1000 - 1100 Symposia TEA BREAK TEA BREAK 7-9 1100 - 1200 Symposia Symposia 1- 3 Free Papers 13 - 15 6 1-3 1200 - 1300 Plenary 3 Lunch Symposium 1300 - 1400 Lunch Closing Ceremony and Lunch Leaving No Child Behind Towards SDG 1400 - 1500 Marginalised Children - Addressing the Needs Heart Talk 1 Plenary 2 1500 - 1600 TEA BREAK Heart Talk 2 1600 - 1700 Symposia TEA BREAK Pre-congress 4-6 1700 - 1800 MPA AGM 1800 - 1900 1930 - 2200 CONGRESS DINNER
5th - 8th September 2018 ¦ Ipoh Convention Centre, Perak, Malaysia FACULTY Aili Hanim Hashim Juriza Ismail Alvin Ng Lai Oon Khoo Teik Beng Amar Singh Lim Boon Chuan Amir Hamzah Abdul Latiff Lokman Mohd Nor Azanna Ahmad Kamar Martin Wong Aznan Alias Mary Chuah Azriyanti Anuar Zaini Mary J Marret Chin Saw Sian Marzida Mansor Chong Lee Ai Maszlee Malik Christine Rundi Muhammad Yazid Jalaludin Cindy Chan Su Huay Nik Khairuldin Claire Choo Wan Yuen Noor Shafina Mohd Nor Colin Nicholas Norzila Mohd Zainudin Dzulkefly Ahmad Raja Juanita Raja Lope Elya Lim Abdullah Rajini Sarvanathan Emme Khairy Rowani Mohd Rawi Eni Rahaiza Sharmila Sekaran Eric Shasa Aziz Faizah Mohd Tahir Sheila Gopal Farah Khalid Shubashini Jeyanath Farah Nini Dusuki Siti Hawa Md Taib Fong Choong Yi Siti Sabsah Foong Siew Cheng Subasyini Sivasupramaniam Foong Wai Cheng Syed Azmi Alhabshi Gill Raja Tan May Loong Goh Bee See Tang Swee Ping Hartini Zainudin Winnie Ong Hasmawati Hassan Wong Sze Lyn Jeanne Intan Hakimah Ismail Wong Woan Yiing Irene Cheah Xavier Sim Izandis Mohamad Sayed Yap Sook Yee 7
Marginalised Children - Addressing the Needs MPA ANNUAL CONGRESS 2018 Leaving No Child Behind Towards SDG CONGRESS INFORMATION Congress Venue Ipoh Convention Centre (ICC) JPT 254557, Jalan Sultan Abdul Jalil Greentown, 30450 Ipoh, Perak Tel : 605-220 0000 Fax : 605-220 0010 Email : enquiry.iccp@gmail.com Website : www.facebook.com/ipohconventioncentre Congress Date 5th - 8th September 2018 Congress Secretariat Secretariat 40th MPA Annual Congress 16-07, 16th Floor, Menara Arina Uniti 97, Jalan Raja Muda Abdul Aziz 50300 Kuala Lumpur, MALAYSIA Tel : 603-2202 7099 Fax : 603-2602 0997 Email : mpaeds@gmail.com Website : mpaeds.my Official Language Official Language of the Congress is English. Certificate of Attendance Certificates of Attendance will be issued to Congress delegates. Letter of Invitation Upon request (after payment of registration fees), the Congress Secretariat will be happy to issue an official Letter of Invitation to attend the Congress. However, such solicited invitation will not offer payment of any expenses. Exhibition A trade exhibition of pharmaceutical products and medical equipments will be held throughout the Congress. The exhibition will be opened to all delegates. For booth space reservations and further information, please contact the MPA Secretariat. Liability The Congress will not assume responsibility for any accidents, losses, damages delays or modifications to the programme caused by unforeseen circumstances. 8
5th - 8th September 2018 ¦ Ipoh Convention Centre, Perak, Malaysia REGISTRATION INFORMATION Registration and Fee Please refer to the attached registration form and fee schedule. ONLY ABSTRACTS SUBMITTED TOGETHER WITH REGISTRATION FEES will be considered for inclusion in the Congress. Fee Schedule 40th MPA Early Before Late After On-site 5th - 8th September Category 30 June 2018 30th June 2018 th Registration 2018 MO & Allied Health Professionals MYR 600.00 MYR 750.00 MYR 950.00 (Members of MPA) MO & Allied Health Professionals Full Congress MYR 700.00 MYR 850.00 MYR 950.00 (Non-Members of MPA) (inclusive of Congress Dinner) Specialists & GP MYR 800.00 MYR 950.00 MYR 1150.00 (Members of MPA) Specialists & GP MYR 900.00 MYR 1050.00 MYR 1150.00 (Non-Members of MPA) Pre-Congress (5th September 2018) MYR 100.00 Accompanying Persons (inclusive of Congress Dinner) MYR 150.00 (LPOs will not be accepted) Registration Entitlements Main Congress Registration for Delegate covers: • Name tag (delegate to wear name tag at all times during Congress) • Congress bag, including congress programme and abstract book • Admission to all scientific sessions and exhibition • Opening Ceremony / Congress Dinner / Closing Ceremony • Coffee / Tea break • Lunch Registration of Accompanying Person covers: • Name tag (to be worn at all times during Congress) • Admission to exhibition • Opening Ceremony / Congress Dinner / Closing Ceremony 9
Marginalised Children - Addressing the Needs MPA ANNUAL CONGRESS 2018 Leaving No Child Behind Towards SDG REGISTRATION INFORMATION Account Details CIMB Bank Berhad is the official bank of the Congress. Name : Malaysian Paediatric Association (Sub-Account 1) Account : 80-0051409-9 Swift Code : CIBBMYKL Bank : CIMB Bank Berhad 64, Jalan Raja Muda Abdul Aziz, 50300 Kuala Lumpur. For payment made through electronic transfer / on-line banking please send us a copy of the bank transaction together with registration reservation form. Registration and Abstract forms should be sent to: Address : Secretariat 40th MPA Annual Congress 16-07, 16th Floor, Menara Arina Uniti 97, Jalan Raja Muda Abdul Aziz 50300 Kuala Lumpur, MALAYSIA Tel : 603-2202 7099 Fax : 603-2602 0997 Email : mpaeds@gmail.com Website : mpaeds.my Cancellation and Refund Policy No refund for cancellation after 18th July 2018. Only 50% of the registration fee will be refunded for cancellation before 18th July 2018. Cancellation and request for refund to be made in writing to the Congress Secretariat. All refunds will only be processed after the Congress. 10
5th - 8th September 2018 ¦ Ipoh Convention Centre, Perak, Malaysia CALL FOR ABSTRACT ABSTRACT INSTRUCTION PLEASE READ THESE THOROUGHLY BEFORE PREPARIG YOUR ABSTRACT: 30" Cduvtcev"owuv"dg"uwdokvvgf"kp"vjg"ucxgf"hqto"qh"c"Oketquqhv"Yqtf"hkng0"Qpn{"wpkxgtucn"hqpvu"ujqwnf" dg"wugf."uwej"cu"Ctkcn"cpf"Vkogu"Pgy"Tqocp0"Cduvtcev"ucxgf"kp"c"hqto"qh"Rkevwtg"qt"Enkr"hkng="uwej" cu"Dkvocr."LRGI"cpf"VKHH"yknn"pqv"dg"ceegrvgf0 40" Gpvktg"cduvtcev"kpenwfkpi"vkvng."cwvjqt*u+."nqecvkqp"cpf"vgzv"eqpvgpv"owuv"hkv"ykvjkp"vjg"33eo"Z"37eo" tgevcping0"Fq"pqv"ngcxg"cp{"octikp"*vqr."nghv."tkijv"cpf"dqvvqo+"ykvjkp"vjku"tgevcping0 50" Qpn{"cduvtcevu"ytkvvgp"kp"Gpinkuj"yknn"dg"ceegrvgf0 Title:"Wug"ECRKVCN"Ngvvgtu"ykvj"Bold Face hqt" vjg" vkvng0" Wug" qh" cddtgxkcvkqpu" ctg" pqv" FOCUS ON PREVENTION AND VACCINES cnnqygf"hqt"vjg"vkvng0 2008 Author:"Uvctv"qp"c"pgy"nkpg0"Wpfgtnkpg"vjg" Zabidi Zabada, Hassan Hussin pcog" qh" vjg" cwvjqt" yjq" yknn" rtgugpv" vjg" rcrgt0" FQ" PQV" kpenwfg" rtqhguukqpcn" vkvngu" Paediatric Dept., Paediatric Institute, Hospital Kuala qt"fgitggu0 Lumpur, Kuala Lumpur Malaysia. Affiliation:" Uvctv" qp" c" pgy" nkpg0" Nkuv" cp{" kpuvkvwvkqpcn" chhknkcvkqp." uvcvg" cpf" eqwpvt{0" OBJECTIVE: Seelook Looksee nolook nosee seelook QOKV"cfftguu"cpf"|kr"eqfgu0 looksee nolook nosee seelook looksee nolook nosee seelook looksee. Content:" Cduvtcev" owuv" dg" kp" c" ukping" METHOD: Injek potong jahit injek potong jahit injek rctcitcrj" eqpvckpkpi" pqv" oqtg" vjcp" 472" potong jahit injek potong jahit injek potong jahit injek yqtfu0 potong jahit. RESULTS: Gotscar gotscared noscar notscared Vgzv"ujqwnf"dg"v{rgf"wukpi"ukping"urcekpi0" gotscar gotscared noscar notscared gotscar gotscared Fq"pqv"kpfgpv"vjg"vkvng"qt"cp{"rctcitcrj0 noscar notscared CONCLUSION: Mass Casualty Situation (MCS) Cddtgxkcvkqp" owuv" dg" fghkpgf" d{" rncekpi" kv" gotmoney gotscar nomoney noscar gotmoney gotscar kp" rctgpvjgugu" chvgt" vjg" hwnn" yqtf." vjg" hktuv" nomoney. vkog"kv"crrgctu0 Wug"pwogtcnu"vq"tgrtgugpv"pwodgtu"gzegrv"yjgp"dgikppkpi"c"ugpvgpeg0 Pqp/rtqrtkgv{"*igpgtke+"pcog."ytkvvgp"kp"nqygt/ecug"ngvvgtu."ku"tgswktgf"vjg"hktuv"vkog"c"ftwi"ku"ogpvkqpgf0"C" rtqrtkgv{"pcog"ku"cnyc{u"kp"ecrkvcn"ngvvgtu0 60" Ukorng"vcdng"qt"itcrj"*pgcv"cpf"kp"dncem"kpm+"oc{"dg"kpenwfgf"kh"kv"hkvu"ykvjkp"vjg"tgrtqfwevkqp"hqto0 70" Cduvtcevu"yknn"crrgct"gzcevn{"cu"uwdokvvgf0"Cduvtcevu"ykvj"uowfigu."gttqtu."okuurgnnkpiu."yknn"tgswktg" tg/v{rkpi"cv"vjg"cwvjqt‚u"gzrgpug0 80" Cp{" cduvtcev" vjcv" jcu" dggp" rtgugpvgf" qtcnn{" qt" cu" c" rquvgt" cv" rtgxkqwu" pcvkqpcn" qt" kpvgtpcvkqpcn" oggvkpi"kp"vjku"qt"cp{"qvjgt"uqekgv{"yknn"pqv"dg"eqpukfgtgf"gnkikdng"hqt"rtgugpvcvkqp"cv"vjku"Eqpitguu0 90" Cduvtcevu" owuv" dg" ucxgf" cpf" ugpv" fktgevn{" vq" vjg" Ugetgvctkcv0" Kv" ecp" cnuq" dg" ugpv" xkc" g/ockn" vq" orcgfuBiockn0eqo NO ABSTRACT WILL BE CONSIDERED FOR INCLUSION IN THE FINAL PROGRAMME (FREE PAPERS/YOUNG INVESTIGATOR AWARD) UNLESS ACCOMPANIED WITH COMPLETED REGISTRATION FORM AND FEE. 11
Marginalised Children - Addressing the Needs MPA ANNUAL CONGRESS 2018 Leaving No Child Behind Towards SDG MEETING VENUE Ipoh Convention Centre (ICC) JPT 254557, Jalan Sultan Abdul Jalil, Greentown, 30450 Ipoh, Perak Tel: 605-220 0000 Fax: 605-220 0010 Email: enquiry.iccp@gmail.com Website: www.facebook.com/ipohconventioncentre HOTEL RESERVATIONS WEIL Hotel 292, Jalan Sultan Idris Shah, 30000 Ipoh, Perak Tel: 605-208 2228 Fax: 605-208 2229 Email: enquiries@weilhotel.com Website: www.weilhotel.com Room Category Room Rates Deluxe/ Premier RM 320.00 nett per room / night with breakfast for 2 persons Studio RM 400.00 nett per room / night with breakfast for 2 persons Cosy Room RM 440.00 nett per room / night with breakfast for 1 person Concept Studio RM 630.00 nett per room / night with breakfast for 1 person Junior Suite RM 650.00 nett per room / night with breakfast for 2 persons Executive Suite RM 900.00 nett per room / night with breakfast for 2 persons To reserve your room, email to reservations@weilhotel.com Syeun Hotel 88, Jalan Sultan Abdul Jalil, 30300 Ipoh, Perak Tel: 605-253 8889 Fax: 605-253 3335 / 255 9284 Email: syeunhotel@syeun.com Website: www.syeunhotel.com Room Category Room Rates Executive Suite Single Occupancy RM 379.00 nett per room per night Junior Suite Single Occupancy RM 319.00 nett per room per night Deluxe Room Single Occupancy RM 179.00 nett per room per night Deluxe Room Twin Occupancy RM 179.00 nett per room per night Standard Room Twin Occupancy RM 159.00 nett per room per night * Room rates inclusive of Breakfast for 1 or 2 To reserve your room, email to fronto@syeun.com / anuar.sales.syuen@gmail.com 12
Attractions 1. Railway Station 2. War Memorial 3. Town Hall and Old Post Office 6 7 4. High Court Su ng 5. Royal Ipoh Club Ipoh a iK 6. Church of St. John The Divine 8 int a 7. St. Michael’s Institution 8. Town Padang Mosque 9. F.M.S Bar & Restaurant Heritage 10. Hong Kong and Shanghai Bank Clayton Road (Jalan S. P. Seenivasagam) 11. S.P.H De Silva Building 12. Chung Thye Phin Building Trail MAP 13. Straits Trading Building (OCBC) 5 9 14. The Chartered Bank Ipoh Padang 15. Mercantile Bank 16. Residence & Law Office of the Brewster Road (Jalan Sultan Idris Shah) Seenivasagam Brothers 17. Perak Hydro Building 18. Birch Memorial 19. Jan Sahib’s Office 16 10 20. Mikasa Photo Shop New Leech Street 21. Dramatists’ Hostel Hale Street (Jalan Tun Sambatan) 22. Perak Ku Kong Chow Association 23. Han Chin Pet Soo 4 17 15 14 11 22 Town 24. Panglima Lane (Concubine Lane) Su Hale Lane nga i Kin 20 21 ta Station Road (Jalan Dato Maharajalela) 12 Panglima Street 24 23 (Jalan Bandar Timah) 18 13 Belfield Street (Jalan Sultan Yussuf) 2 3 1 Panglima Lane (Concubine Lane) 19 Post Office Road (Jalan Dewan) Market Street (Jalan Pasar) Club Road (Jalan Panglima Bukit Gantang Wahab) Market Lane Lorong Bijeh Timah Treacher Street (Jalan Bijeh Timah) Old Town Hugh Low Street (Jalan Sultan Iskandar)
40th Malaysian Paediatric Association Annual Congress Marginalised Children - Addressing the Needs Leaving No Child Behind Towards SDG 5 - 8 September 2018, Ipoh Convention Centre, Perak, Malaysia th th REGISTRATION FORM (Please write in BLOCK CAPITAL LETTERS) Name : Prof / Dr / Mr / Mrs / Ms ........................................................................................................................... Institution : ............................................................................................................................................................ Correspondence Address : ...................................................................................................................................... .............................................................................................................................................................................. Postcode : .......................... State : ................................................... Country : .................................................. Tel : ............................................. Fax : ............................................... E-mail : .............................................. (One E-mail address only please) Accompanying Person(s) : .................................................................................................................................... ...................................................................................................................... Vegetarian Non-Vegetarian Note: Your participation is confirmed only when full payment has been made and letter of comfirmation received from the secretariat. 40th MPA Early Before Late After On-site Please 5th - 8th September Category 30th June 2018 30th June 2018 Registration Tick 2018 Specialists & GP (Members of MPA) MYR 800.00 MYR 950.00 MYR 1150.00 Full Congress Specialists & GP (Non-Members of MPA) MYR 900.00 MYR 1050.00 MYR 1150.00 (inclusive of Congress Dinner) MO & Allied Health Professionals (Members of MPA) MYR 600.00 MYR 750.00 MYR 950.00 MO & Allied Health Professionals (Non-Members of MPA) MYR 700.00 MYR 850.00 MYR 950.00 Pre-Congress (5th September 2018) MYR 100.00 Accompanying Persons (inclusive of Congress Dinner) MYR 150.00 (LPOs will not be accepted) Total: RM Payment Method Cash Cheque No. ............................... Electronic Bank Transfer Bank Draft No. ......................... Name of bank : CIMB BANK BERHAD Name : MALAYSIAN PAEDIATRIC ASSOCIATION (SUB-ACCOUNT 1) Account : 80-0051409-9 Swift Code : CIBBMYKL Banker : CIMB Bank Berhad Signature 64, Jalan Raja Muda Abdul Aziz, 50300 Kuala Lumpur. Date For payment made through electronic transfer, please send us a copy of the bank transaction together with registration form. PLEASE SEND COMPLETED FORM & PAYMENT TO: Secretariat, 40th MPA Annual Congress 2018, Malaysian Paediatric Association 16-07, 16th Floor, Menara Arina Uniti, 97, Jalan Raja Muda Abdul Aziz, 50300 Kuala Lumpur, MALAYSIA Tel: 603-2202 7099 Fax: 603-2602 0997 Email: mpaeds@gmail.com Website: mpaeds.my
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