KGMU Alumni U.K. Annual Meet 2021 Registration Form

MULTIDISCIPLINARY CME & INTERNATIONAL GEORGIAN MEET

Manchester, UK - 9th October 2021

Venue: Double tree by Hilton Manchester Airport , M90 4WP
Tel: 0161 435300

Member Name *

Dietary preference *

1. Family Member Name

Dietary preference

2. Family Member Name

Dietary preference

3. Family Member Name

Dietary preference

4. Family Member Name

Dietary preference

5. Family Member Name

Dietary preference

Email *

Telephone *

Select MBBS Batch Year *

Select PG Batch Year *

Total Registration Fee in GBP *

Date paid *

Address

Method of payment:-

Bank transfer in GBP (our bank details):
Swift Code: MIDLGB22
International Bank Account Number: GB11MIDL40372502255081
Branch Identifier Code: MIDLGB2108S

Sortcode: 40-37-25
Account Number: 02255081

Account Name: King George’s Medical College (UK) Reunion Fund
Please insert your name in “reference’

Registration Fee(GBP) :

1. £55/ person (£60 / person after 30th September) – including afternoon tea
2. Guest: £30/ person – (for Dinner only)
3. Child (6-16 yrs) : £30/ child
4. Child less than 6 yrs – attends free

Please do confirm what date and time you transferred the amount.

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