PSV- Post Graduate Course Conference 2025 Register below or use the Google Form to register. Name(Required) First Last Email Address(Required) Email Address Confirm Email Address Contact Number(Required)Are you a PSV Member?YesNoIf No, pls indicate specialization / other society affiliation, residency program, allied profession Profession/Specialization(Required) Doctor Nurse Medical Technologist Midwife Others If Doctor, pls indicate specialization / society affiliation PRC ID Number If ApplicablePRC ID Expiration Date MM slash DD slash YYYY If ApplicablePMA Number If applicableHospital Affiliation Hospital Affiliation and AddressPost Graduate Course Conference FeePlease guided by the following rates ** EARLY BIRD RATES ** Early Bird Deadline: August 15, 2025 PSV Member ------------------------------------ Php 3,000 Non PSV Member MD--------------------------- Php 3,500 Nurses / Medtechs ------------------------------ Php 2,500 Medical Residents/ Clerks / Students ----------- Php 2,000 Other Allied Medical Profession ----------------- Php 2,500 REGULAR RATES PSV Member ------------------------------------ Php 3,500 Non PSV Member MD--------------------------- Php 4,000 Nurses / Medtechs ------------------------------ Php 3,000 Medical Residents/ Clerks / Students ----------- Php 2,000 Other Allied Medical Profession ----------------- Php 3,000 ** for PSV Post Grad - Balik PSV Package, Please contact PSV Secretariat at secretariat@psvi.org.ph For inquiries email: secretariat@psvi.org.ph Payment Deposit at: Bank: Landbank of the Philippines Account Name: Philippine Society of Venereologists, Inc. Account Number: 1431-0855-81Proof of payment(Required)Max. file size: 512 MB.Kindly scan or take a photo of the deposit slip and upload it here to complete your registration