Registration Form – Safe Heart for Frontliners Seminar Seminar Safe Heart for FrontlinersFull NameUniversity/ Institution/ WorkplaceProfession- Select -SpecialistResidentGeneral PractitionerMidwifeNurseOthersDomicile AddressEmail SATUSEHATNIKWhatsapp NumberWhere did you get this event information?- Select -Instagram AdsInstagram prenatal.instituteWhatsap GroupLinkedInWebsiteTelegramColleaguesDo you interested in Prevention of Pregnancy Complications Topic?- Select -YesNoDo You Have SATUSEHAT Account?- Select -YesNoTransfer ke rekening BSI 7345146355 a.n. Fetal Academy Fee : Rp1.800.000,- (Discount for Alumni Webinar Fetal Heart Screening For All) Normal Fee: Rp 2.000.000Please upload your transfer receiptChoose File Continue
