Dates Seminar Location CPD
16-17 September 2023 All about Keratoconus Kameelsdrift-East Gauteng RSA 11 CPD points

INDIVIDUAL REGISTRATION FORM

Please note that the fields marked with a (*) are mandatory. Have on hand a screenshot or pdf of your proof of payment, ready to be uploaded.

DO NOT use commas (,) while filling out the fields of the form.

A confirmation will be sent to your email address once your completed registration form and proof of payment have been received.

 

Bank Branch Code Account Number SWIFT Reference
First National Bank (FNB) 220426 62728328776 FIRNZAJJ Your Name