Scientific Activity Registeration Form

  • To confirm your registration, fees must be paid in advance to: Account name: King Fahad Specialist Hospital, Account Number: 003102167902, Bank: Saudi British Bank (SABB).
  • Deposit confirmation number and date should be sent via e-mail [registration@kfsh.med.sa] or Fax # +966 3 8429359.
* Required
Activity Title *
(Conferences, Courses & Symposia)
Title *
First Name *
Middle Name *
Last Name *
ID Number *
(for KFSH Staff Only)
Gender *
Institutional Affiliation
Speciality *
Position
Country
City
P.O.Box
Postal Code
Phone
E-mail *
How did you know about this CME activity?




 
Method Of Payment *
(Required to confirm registeration)
Do you wish to be excluded from receiving
e-mail notices of future KFSH-D CME programs?
To facilitate registration, please enter the
course code which is located at the bottom
right corner of your brochure or email, if applicable
Please let us know if there are specific topics
or issues you wish this course to address
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