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Registration Form

Bank Account:

ACCOUNT NAME: ASIA PACIFIC SPINE SOCIETY LIMITED
ACCOUNT NUMBER: 701-163037-7 (USD)
BANK NAME: OCBC
BANK ADDRESS: Level 16 (Enterprise Cash Management) 18 Jalan Tun Perak, Menara OCBC 50050 Kuala Lumpur
BANK CODE: 00701
SWIFT CODE: OCBCMYKLXXX

Kindly furnish us with a copy of the transaction confirmation or deposit slip via email at: apss.secretariat@gmail.com

Payment due on or before: 30 September 2026

Fields marked (*) are compulsory

A: PERSONAL PARTICULARS
Salutation:*             Gender: *  
First Name: *
 Last Name: *
 Date of Birth (MM/DD/YYYY): *
Correspondence Address: *
Country: *
Postal Code: *
 Contact Number (Mobile number): *
Email Address: *
 Institution: *
 Specialty: *
Are you the APOA/APSS Existing Member?: *  
B: REGISTRATION FEES *
Category Amount Payable
USD 700
USD 800
TOTAL (USD)
Payment Mode?: *
C: Proof of Payment
For registrants making manual payment via telegraphic transfer, kindly upload your payment proof below:
Please enter the text as below *
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