Registration Options

	Consultant and board certified	Students and Trainee	Non-Nuerosurgeons
Early Registration	500 SAR	250 SAR	250 SAR
Late Registration	900 SAR	450 SAR	450 SAR

Fields marked with an asterisk (*) are required.

Personal Details *

Please print your name as it should appear on the attendance certificate.

Please correctly fill in all your personal details.

Prefix

Dr.

Mr.

Ms.

Mrs.

Emergency Contact

Institution

Discipline

SCHS Number *

Please include your SCHS Number.

Payment Option *

	Consultant and board certified	Students and Trainee	Non-Nuerosurgeons
Early Registration	500 SAR	250 SAR	250 SAR
Late Registration	900 SAR	450 SAR	450 SAR

Option 1

Option 2

Option 3