Pharmacoepidemiology in Africa 2023 

REGISTRATION FORM

Contact Details

Primary Address

Please upload a PDF copy of your student details.

Do you require an invitation letter for visa purposes

Please upload a PDF copy of your passport below.

Do you have accessibility requirements? (eg wheelchair access etc)

If yes to Accessibility requirements please specify

Pre-Conference Workshops

The conference currency is South African Rand (ZAR), however we have added the US Dollar ($) equivalent in the text heading of each registration and social fee option for ease of reference.

Please note that the US Dollar ($) amount is what is the rate of exchange based on the time of this registration form set up, so it may differ to the current exchange rate. Make sure to calculate the current exchange rate using this exchange rate link before making payment

AMOUNT
ZAR 1,700.00
TOTAL

Monday 05 June 2023

Tuesday 06 June 2023

Conference Registration

The conference currency is South African Rand (ZAR), however we have added the US Dollar ($) equivalent in the text heading of each registration and social fee option for ease of reference.

Please note that the US Dollar ($) amount is what is the rate of exchange based on the time of this registration form set up, so it may differ to the current exchange rate. Make sure to calculate the current exchange rate using  this exchange rate link before making payment

AMOUNT
ZAR 2,380.00
TOTAL
AMOUNT
ZAR 2,720.00
TOTAL
AMOUNT
ZAR 3,400.00
TOTAL
AMOUNT
ZAR 1,700.00
TOTAL

Daily Attendance

AMOUNT
ZAR 1,000.00
TOTAL
AMOUNT
ZAR 1,400.00
TOTAL
AMOUNT
ZAR 1,000.00
TOTAL
AMOUNT
ZAR 1,400.00
TOTAL
AMOUNT
ZAR 1,000.00
TOTAL
AMOUNT
ZAR 1,400.00
TOTAL
AMOUNT
ZAR 1,000.00
TOTAL
AMOUNT
ZAR 1,400.00
TOTAL
AMOUNT
ZAR 1,000.00
TOTAL
AMOUNT
ZAR 1,400.00
TOTAL

VISA - Invitation Letter Requirements

Full names as per passport

Date of Birth

Place of Birth

Country of Residence

Passport Number

Passport issued date

Passport Expiry Date

Social Functions

Welcome Cocktail

Gala Dinner

AMOUNT
ZAR 650.00
TOTAL

Summary

Payment

***Please note the following very important information regarding our various payment methods:

  • Electronic Fund Transfer (EFT) to the Conference bank account (see banking details below)
  • Pay securely online via EventsAir by clicking on the credit card option below.
  • Cash deposit at the bank into the Conference bank account (see banking details below)

 

The conference currency is South African Rand (ZAR), however we have added the US Dollar ($) equivalent in the text heading of each registration and social fee option for ease of reference.

 

Please note that the US Dollar ($) amount is what is the rate of exchange based on the time of this registration form set up, so it may differ to the current exchange rate. Make sure to calculate the current exchange rate using  this exchange rate link before making payment

 

CANCELLATIONS:

Cancellations should be made in writing and emailed to Janet Sirmongpong at janet.sirmongpong@uct.ac.za

A 15% cancellation fee will apply before 8 May 2023. Thereafter, a 100% cancellation fee will apply.

Banking Details

Bank: Standard Bank

Account Name: Conference Management 09

Account No: 071 331 409

Branch Code: 025009

Branch: Rondebosch

Swift Code: SBZAZAJJ

Thank You

Thank you for submitting your registration for the 3rd Annual Conference on Pharmacoepidemiology in Africa 2023. You will receive an email with your registration confirmation soon.

 

If you have any queries regarding your registration please contact:

Janet Sirmongpong 

Tel: +27 21 406 6348

Email: janet.sirmongpong@uct.ac.za

 

For general conference enquiries please contact:

Yvonne Brown

Tel: +27 21 650 3915

Email: yvonne.brown@uct.ac.za

 

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