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Event Registration

Fill out the form below to secure your spot for this event

1 Personal Details

Title

First Name

Last Name

Email Address

Mobile Number

Organisation / Hospital

City / Town

Country

2 Profession

3 Category & Fee

4 Payment Authentication

Please provide proof of your successful payment.

Transaction ID / Reference

Payment Method

Upload Proof of Payment (PNG or PDF)

Clear screenshot of Mobile Money confirmation or Bank/ATM deposit slip.

I confirm that I have made the payment and the Transaction ID provided is accurate. I understand that my registration will remain Pending until proof of payment is verified by ZOS.

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