Registration Form

Please complete the registration form and fax or Copy & Paste to your E-mail by attention of

Raheeq H. Eqtami

Fax Number: 22418164

Or

E-mail to: raheeq2000@hotmail.com

For any queries please call

Tel Office: +965 22420414

Tel Office: +965 22468161

 

 

Conference Only

  

Entire Event

 

 National Alliance Against Hepatitis C

  
 
 A
       

Creativity at The Work Place

  
 
 B
       
Designing a Health and Performance Strategy for Your Company  
 
 C
       
Management of Sickness Absence  
 
 D

 

Delegate Details

(please Photocopy This Form to Register Further Delegates)

All Fields in Delegate Details are Mandatory
and Must be Completed in Block Letters

 

  Title:
  Name:
  Department:
  Company Name:
  Address:
  Country:
  Tel :
  Direct:
  Fax:
  Mobile:
  Email: