22nd Pediatric Intensive Review Course 17-22 August 2024

Registration Form

Question Title

* 1. Please type your name clearly and as you wish to be in the certificate

First name

Middle name

Last name

Hospital/ Institution

Postion

Mobile Number

E-mail Address

Country

Registration Fees
SR 2,000 Early Registration until 10 August 2024
SR 2,500 Late Registration after 10 August 2024

Payment Options:
Via Bank Transfer:
Account Holder Name: King Faisal Specialist Hospital & Research Centre (KFSHRH)
Bank NAme: Alrajhi Bank, KFSHRC Branch
IBAN: SA 138 0000 114 6080 1012 3712
Address: PO BOX 3354, Riyadh 11211, Saudi Arabia

Then e-mail us your registration form and proof of payment (copy of bank transfer receipt) to mbernardo@kfshrc.edu.sa with Subject - Payment - 22nd PIRC

Cancellation Policy:
Service charge will be applied for cancellation during the following periods: 50% of the Registration fee until July 17, 2024, 25% of the Registration fee until 31 July 2023. There will no refund after August 1, 2024

For Further Information:
Department of Pediatrics (MBC-58)
Telephone: +966 11 4427761, 4427765