25th Scientific Conference of
The Nutrition Society of Malaysia
Date: 25 - 26 March, 2010
Venue: Crown Plaza Mutiara Hotel, Kuala Lumpur

REGISTRATION FORM

Name :

 

Address :

 

 

Telephone :

 

Fax :

 

Email :

 

I wish to ( tick appropriate )  :

  Attend the 25th Scientific Conference of NSM

  Attend the NSM Annual Dinner (26 March 2010)

  Make a presentation entitled

 

 

Registration fee * 

   Will send Cheque/Money Order/Postal Order for RM :   Cheque No.

   Paid by Cash RM :

   Government LPO / guarantee  letter from Dept Heads

 
Abstract of Paper
  Email to President  Email
  Shall submit before 26 February 2010
  Not applicable

(All participants, including oral / poster presenters, must register for the conference and pay the appropriate fees. Cheques / money orders / postal orders should be made payable to the "Nutrition Society of Malaysia". Outstation Cheques should include required bank charges)

* Please mail your Cheques / LPO / guarantee letter from Department Heads together with printout of this online registration to

 Dr Tee E Siong
 President, NSM
 46 Jalan SS22/32
 47400 Petaling Jaya
Selangor D.E.
Tel: 019-321 1788
 Fax: 03-7728 7426

Or

Dr Hazizi Abu Saad
 c/o Sports Academy
Universiti Putra Malaysia
43400 UPM Serdang
 Tel: 03-8947-1147 or 2434
 Fax: 03-8947-2434

**Please print before clicking "Submit"

 


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