FPSC-91 – College of Family Physicians Singapore

	COLLEGE MEMBER	NON-MEMBER
Seminar 1 (Sat)	Free	$32.10
Workshop 1 (Sat)	Free	$32.10
Distance Learning (MCQ’s Assesment)	Free	$85.60

Are you a College Member? *

Osteoporosis: A Growing Primary Care Concern (Non-Member) *

Seminar 1 (Sat)
Workshop 1 (Sat)
Distance Learning (MCQs Assesment)

Total Amount Payable

$ 0.00

PAYMENT

Payment Mode *

PayNow
Cheque

PAYNOW PAYMENT

PayNow UEN: S71SS0039J

Key in your MCR No. and Name under the UEN/Bill Reference No.

Please upload a screenshot of your PayNow Payment *

Click or drag a file to this area to upload.

PayNow to UEN: S71SS0039J

Bank *

Account Number *

Date of Transaction *

Account Holder Name *

CHEQUE PAYMENT

We accept cheque and cashier's order made payable to College of Family Physicians Singapore.

Please mail them to the following address.

Address:
Censor-in-Chief
College of Family Physicians Singapore
College of Medicine Building
16 College Road, #01-02
Singapore 169854

Please upload a copy of your Cheque Payment (Front)

Click or drag a file to this area to upload.

Kindly refer to our cheque sample (front) Please take note of the 6 numbers as shown and enter in the fields below for submission.

Please upload a copy of your Cheque Payment (Back)

Click or drag a file to this area to upload.

Please write the purpose of the cheque payment at the back of the cheque. In this case, [FPSC 87 - Person Centred Diabetes Care and Meal Planning for the Older Person] should be indicated. You may refer to the cheque sample (back) if you are unsure.

Bank *

Please indicate the issuing bank of your cheque for records purposes.

Cheque Number: *

This is the six digit number at the bottom of the cheque. You may refer to the cheque sample (front) if you are unsure.

All Prices are inclusive of 7% GST. GST Registration Number: M90367025C *

I attach a cheque for payment of the above, made payable to:
College Of Family Physicians Singapore

Name: *

MCR No: *

Example: M12345E

Mailing Address Preference (Please Indicate) *

Residential Address
Practice Address

Mailing Address *

Email: *

Telephone: *

Signature *

Note: Any changes to the course details will be announced via e-mail. Kindly check your inbox before attending the course. Thank you.

Please mail the cheque payment to:

College Of Family Physicians Singapore

College Of Medicine Building
16 College Road #01-02
Singapore 169854

Successful applicants will be confirmed by email.

Registration is confirmed only upon receipt of payment.
College will not entertain any request for refund due to cancellations after the registration is closed OR after official receipt is issued (whichever is earlier).

FAMILY PRACTICE SKILLS COURSE

Osteoporosis: A Growing Primary Care Concern

PAYMENT

PAYNOW PAYMENT

CHEQUE PAYMENT