2019 ASNOS Congress Filipino Registration Form


* All fields are required
Full Name *
Prefix First Name Middle Name Last Name Suffix
Email *
Birthdate *
Phone Number *
- -
Country Code   Area Code   Phone Number
Address *
Street Address
Street Address Line 2
City State/Province
Postal / Zip Code Country
Medical License Number *
Hospital / Clinic Position *

If you are a Resident in Training, kindly upload Certification of Training from your institution signed by the Department Chairman or Training Coordinator
Institution *
Name of Institution
Street Address
City State/Province
Postal / Zip Code Country
Are you a member of the Philippine Academy of Ophthalmology (PAO)? *

Did you register for the 2019 Philippine Academy of Ophthalmology (PAO) Annual Congress/Meeting? *

If registered for the 2019 PAO Annual Meeting/Congress, please kindly upload your proof of payment
Registration Rate
CATEGORY Advanced
Jun.10-Oct.15,2019
On-site
Day Registration
ASNOS Congress only
Ophthalmologist (Consultant)
Php 8,000
Php 10,000
Php 7,500
ASNOS Congress (PAO Member/Consultant)
*Rates applied if registered to the PAO 2019 Annual Congress/Meeting
Php 2,000
   
ASNOS Congress (PAO Member-in-Training/Fellow)
*Rates applied if registered to the PAO 2019 Annual Congress/Meeting
Php 1,000
   
Local Physician (Non PAO Member/Consultant)
*Rates applied if registered to the PAO 2019 Annual Congress/Meeting
Php 4,000
Php 15,000
Php 5,000
Local Physician (Non PAO Member Resident/Fellow)
*Rates applied if registered to the PAO 2019 Annual Congress/Meeting
Php 2,000
Php 6,000
Php 3,000
NOTE: Payment is still subject for verification, any discrepancies to payment might be collected onsite