Australian Society of Cytology - Pursuit of Excellence
Australian Society of Cytology

Continuing Education for Cytotechnologists
(CEC) Program

Registration Form

Please complete, print and send this form together with fee if applicable to:

The Registrar
CEC Program
Australian Society of Cytology Inc
PO Box 491, North Adelaide, South Australia, 5006.

Declaration

I wish to register with the Australian Society of Cytology CEC programme. I understand that registration is an annual requirement and that upon registration it is my responsibility to furnish details of my CEC activity half yearly to the registrar of the programme.

Please register me with the ASC CEC Programme

I enclose annual registration fee of $170 (non ASC members only).

Preferred diary format    Paper
If you are already using the paper version of the diary:
   Electronic

Your Details

Name:
Address for correspondence:
Qualifications:
Laboratory:
Member of the ASC:
Yes or No
In-House Co-Ordinator:

 

 

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