PRE REGISTRATION
AUGUST 25 – NOVEMBER 7, 2023

Virtual Only

Name:*

First Name Required Last Name Required

Age:* Age is Required

Gender:* Gender is Required

Male Female

Name of Hospital: Name of Hospital is not valid

Cellphone Number:* Cellphone Number is Required

Home Address::* Home Address: is Required

Upload the Deposit Slip Image:* Upload the Deposit Slip Image is Required

Senior Citizen / PWD ID (ONLY):* Senior Citizen / PWD ID (ONLY) is Required

Email:* Invalid Email

BANK DETAILS

PAYMENT OPTIONS

Over the Counter/Online Banking /Gcash to Bank PSA website: psa-inc.org

PESO ACCOUNT

BPI Account Number: 4433-1136-03
Account Name: Philippine Society of Anesthesiologists, Inc.

Landbank Account Number: 0711-0635-44
Account Name: Philippine Society of Anesthesiologists, Inc.

DOLLAR ACCOUNT

BPI Account Number: 4434-0395-47
Account Name: Philippine Society of Anesthesiologists, Inc.
SWIFT CODE: BOPIPHMM

FOR INQUIRIES: PSA Secretariat Mobile Numbers
Globe: 09178329069 / Smart: 09209522120
Landline: 8452-2058/8929-5852
Email: psainc_sec@yahoo.com

No val Please fix the errors above

Pay

₱4,000 for access until 7 November 2023

	(Pre Registration) 55th Annual Convention and Post Graduate Course - Regular & Life Members (Virtual Only)(Senior Citizen / PWD) – Payment ₱4,000 for access until 7 November 2023	₱4,000.00
	Total	₱4,000.00

(Pre Registration) 55th Annual Convention and Post Graduate Course - Regular & Life Members (Virtual Only)(Senior Citizen / PWD) – Payment

₱4,000 for access until 7 November 2023

₱4,000.00

Total

₱4,000.00

PRE REGISTRATION AUGUST 25 – NOVEMBER 7, 2023

Virtual Only

PAYMENT OPTIONS

Pay

PRE REGISTRATION
AUGUST 25 – NOVEMBER 7, 2023