Test – UCT Paediatric

UCT GP Update July 2023

All fields marked with (*) are required

Contact Information

Title

First Name

Last Name

Cell / Mobile No

Email Adress

HPCSA Number (If Applicable)

* I give consent for my contact details (email address) to be shared with the congress organisers. Your email address will be used for communication on upcoming congresses. You can opt out at any time.

Yes

Day Registration

Tuesday 25 July 2023

R 200

Wednesday 26 July 2023

R 200

Payment Instructions

Registration Total

Payment Type

Electronic Transfer (EFT)

Online Credit Card (Payfast)

Please use your surname as a reference number when submitting payment. The banking details and Payfast link will be sent when registration has been completed. Notice of cancellation must be given in writing to dine@londocor.co.za. Cancellations received by 25 June 2023 will carry a 50% cancellation fee. Cancellations received from 26 June 2023 will carry a 100% cancellation fee.

From 1 July 2021, the Protection of Personal Information Act (POPIA) has been implemented. The law is designed to protect how your data is used, stored, and processed. We want to assure you that we take the privacy of your information very seriously. Any contact information that we receive from you (i.e to capture registration details for a meeting or a congress), will be used to correspond with you and will not be shared with any third party) No action is required should you wish to stay on our mailing list, but if you would like to opt out please let us know by e-mailing info@londocor.co.za. Please note that you can unsubscribe at any time.

Captcha