12th FASAVA Congress 2024

() Required information

Title

Full Name

Mobile No.

Including country and area codes

Profession

Institution/Organisation/Company

Member/Non Member

FASAVA No./ MSAVA no.

Please include N/A if not available

Malaysian Identification no./Passport no.

Do not include hypen for IC No.

Correspondence Address

Country

Meal Preference

Vegetarian Non-Vegetarian

Please select the respective category

Member - RM 1500

Non-Member - RM 1800

Para-professional - RM 680

MALAYSIAN NIGHT GALA DINNER (20 JULY 2024)

Malaysian Night Dinner - RM 250

PRE-CONGRESS - MASTERCLASS

Sharpening Your Radiological Interpretation Skills - RM 1200

Mastering the Challenge: Key Vector-Borne Diseases & Parasites in Companion Animals - RM 600

Total:

Important Notice:

Please insert your organisation/delegate name - FASAVA 2024 and email us a scanned copy of your proof of payment at registration@fasava2024kualalumpur.com within 48 hours, otherwise the registration will be cancelled.
Payee will bear the bank charges, if any.
Please be advised that the online e-payment are only limited to MYR 10,000.00 per transaction

Proceed with online credit card payment via iPay88

Bank Transfer/Telegraphic Transfer/Cheque/ Online Banking - direct to MSAVA Account

Bank Information

Name of the Account:

MALAYSIAN SMALL ANIMAL VETERINARY ASSOCIATION

Account Number:

3179582618

Bank Name:

PUBLIC BANK BERHAD

Swift Code:

PBBEMYKL

Online Registration