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Registration Form

Please click HERE to view terms & conditions

I. PERSONAL PARTICULARS OF PARTICIPANT (Please register on a separate form for each participant)

Salutation*
Name*
(as in NRIC / passport)
Company*
Designation*
Profession*
Please State*
Company Address
Block No.*
Street Name*
Level / Unit No.
—
Building Name
Country*
City*
State/Province*
Postal code*
Email address*
Contact No.*
For claim of CPE points for local registered pharmacists, please provide your Pharmacist Registration No. (PRN)

Please complete all mandatory fields marked with a *

II. REGISTRATION FEE (PER PARTICIPANT)

DAY / DATE TOPICS REGISTRATION FEE
AM SESSION

PM SESSION
(Please select one)

1 DAY 2 DAYS
DAY 01 (FULL DAY)
9 SEPTEMBER 2013
  • Regulatory Science: Protecting Patients, Ensuring Public Health and Stimulating Innovation
  • Singapore’s Regulatory Approaches to Protect and Advance Public Health
  • Update on Singapore’s Biomedical Sciences Industry
  • Industry’s Perspectives: Industry & Regulator Working Together to Promote Public Health

SYMPOSIUM 1

Updates and Developments in Singapore’s Medicinal Product Registration

$250
(Early Bird)

$400
(Early Bird)

SYMPOSIUM 2

Updates and Developments in Singapore’s Medical Device Regulatory Framework

DAY 02 (FULL DAY)
10 SEPTEMBER 2013
  • Pharmacoepidemiology as a Risk Management Tool: Opportunities, Challenges & Success Stories
  • HSA Pharmacogenomics Project:  Success through collaboration with Healthcare institutions and Academia
  • Overview of International Initiatives To Enhance Global Supply Chain Integrity And Security
  • HPRG Enforcement Initiatives: Combating Illegal Health Products in Singapore

SYMPOSIUM 3

Updates on Pharmacovigilance and Risk Management to optimize benefits and mitigate risks of medicinal products

$250
(Early Bird)

SYMPOSIUM 4

Updates on ASEAN Harmonization of Regulatory Requirements for Health Products

TOTAL AMOUNT (GST inclusive)  

III. MODE OF PAYMENT (Check off choices. You are not registered until payment is received)

OPTION 1: Local Cheque

NOTE: Please indicate your Name (as in NRIC / Passport) and Invoice No. behind the cheque when mailing it to us.

Payment details can be found in the Terms & Conditions here.

Cheque Number
Bank
Date of Issue (dd/mm/yy)
/ /
Amount of Registration Fee (S$)

OPTION 2: Telegraphic Transfer (TT) / Bank Draft (BD)

NOTE: Please make sure that your name (as in NRIC / Passport) appear clearly on all payment documents. Also indicate in the document that the payment
is made for HPRC Conference 2013. Bank or Telegraphic Transfers received without the name of the participant cannot be processed.

Kindly email a scanned copy of the telegraphic transfer confirmation form once payment has been made to hsa-hprc2013-enquiries@communique-live.asia

Payment details can be found in the Terms & Conditions here.

TT Advice / BD Number
Bank
Date of Issue (dd/mm/yy)
/ /
Date of Authorisation (dd/mm/yy)
/ /
Amount of Registration Fee (S$)

OPTION 3: Credit Card

VISA MASTERCARD

Card Holder's name
(as in credit card)
Credit Card Number
/ / /
Expiry Date (mm/yy)
/
CVV/CVS No.
I hereby authorise "HEALTH SCIENCES AUTHORITY" to debit my credit card with the total amount of
Date of Authorisation
/ /

Note: Should there be an error in the total amount made by the participant, the Organiser of the "HSA - HPRG JOINT REGULATORY WORKSHOP" reserves the right to charge the correct amount.

I have read, understood, and hereby agree to the terms and conditions stated HERE.