Registration

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Name *

Email *

WhatsApp No. (Include Country code)

City of Residence

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Which of the following categories do you belong?Medical Student (Undergraduate)- $30Junior Doctors- $70Senior Doctors- $130

Do you intend to come with any Accompanying Delegates?YesNo

Which of the following Accompanying Delegates will you tag along?Spouse (Non-Medic)- $100Child 1 (2-14 yrs old)Child 2 (2-14 yrs old)Child 3 (2-14 yrs old)Child 4 (2-14 yrs old)

Which of the following Accommodation Plan do you prefer?Arranging for my own AccommodationSelecting from the recommended list of Accommodations

How do you intend to pay for your registrationPay via National FellowshipBank Transfer

Bank Details

Account Title:
CHRISTIAN MEDICAL AND DENTAL ASSOCIATION LIBERIA INC

Account #: 6102194102

Ecobank Liberia Swift Code: ECOCLRLM

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” Transformation”

Romans 12:2 – Do not conform to the pattern of this world, but be transformed by the renewing of your mind. Then you will be able to test and approve what God’s will is—his good, pleasing and perfect will.