LA&HA Academy Malaysia Training Center Workshop Registration
Workshop registration

Thank you for registering for the upcoming workshop. Join us to discover the latest advancements in Fotona laser technology and education. Be part of a transformative journey towards clinical excellence.

Lecturer
Dr Lucas Chia
MB BCh BAO (UK) MRCP (UK) FRCP (Edin) FRCP (Glasg)

Date:
06/11/2024

Address :
LA&HA Academy Malaysia Training Center
No. 172 & 173, Level 3, Jalan Kenanga 29/4, Bandar Indahpura, 81000 Kulai, Johor, Malaysia.

Contact:

+6012-7720992 (Stephanie)

Arrival Information:
Sign in to Google to save your progress. Learn more
Location Map
Full Name :  *
Name & Title Appears In Certificate:
Contact Number :
*
E-Mail Address :
*
Country Of Origin:
*
Dietary Restrictions:
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report