Step 1 of 5 20% Midyear 2024 RegistrationHow would you join this year's conference?(Required)ChooseIn-PersonVirtualInclusions (In-person): entry to all plenary sessions; industry symposia with meals; pre-congress workshops (free but limited slots); Color Run, Run for Fun (3kms) registration; welcome cocktails and fellowship night with meals Add-on (In-person): airport-to-island transfers; E-BLUS registration (limited slots) NOTE: For Residents, a proof of status in the form of a letter or document from your department or institution should be sent to boracay2024@puaweb.org after online registration. Residents who fail to comply with this requirement shall be charged a full payment of P10,000 (approx. USD 174). Registration will be confirmed by the PUA Secretariat via email. PRESCRIBED ATTIRE: Pre-congress workshops - Casual attire Color Run, Run for Fun (3kms) - White shirt Plenary sessions – Casual attire (Tank top, sleeveless shirt, shorts and slippers are prohibited) Welcome cocktails – Casual attire but may get wet during the foam party Fellowship night – Reggae theme Delegate InformationMembership Status(Required) Philippine Urological Association (PUA) Member Philippine Urology Residents’ Association (PURA) Member Non-member (Consultant) Non-member (Resident/Trainee) Membership Status(Required) Philippine Urological Association (PUA) Member Philippine Urology Residents’ Association (PURA) Member Non-member (Consultant) Non-member (Resident/Trainee) EAU Member? Yes No Name(Required) Prof.A/Prof.Dr.Mrs.Ms.Mx.Other Prefix First Last Suffix Age(Required)Please enter a number from 1 to 100.Organization / Institution(Required) Email(Required) Enter Email Confirm Email Mailing Address Street Address Address Line 2 City State / Province / Region AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone(Required)Note: Include Country code and Area codeFood allergies and dietary restrictions(Required) Yes None Please let us know if you have any food allergy or dietary restrictions so that your meals may be prepared in advance.Please specify Food Allergy or Dietary Restrictions(Required) SPECIAL SESSIONSThe special sessions will be held on 13 June 2024 (Thursday). Please choose the sessions which you will be attending.Free Special Sessions Laparoscopic Radical Prostatectomy Masterclass (Time: 1400 – 1530) Registration is free but with limited slots. RIRS Workshop (Time: 1530 – 1700) Registration is free but with limited slots. E-BLUS - P2,150 (approx. 35 euros) E-BLUS (Time: 1400 – 1700) The European training in Basic Laparoscopic Urological Skills will be held simultaneously with the pre-congress workshops but you may still join the other sessions once you are done with the laparoscopic pelvic exercises. E-BLUS - P4,300 (approx. 70 euros) E-BLUS (Time: 1400 – 1700) The European training in Basic Laparoscopic Urological Skills will be held simultaneously with the pre-congress workshops but you may still join the other sessions once you are done with the laparoscopic pelvic exercises. E-BLUS - P2,300 (approx. 37 euros) E-BLUS (Time: 1400 – 1700) The European training in Basic Laparoscopic Urological Skills will be held simultaneously with the pre-congress workshops but you may still join the other sessions once you are done with the laparoscopic pelvic exercises. E-BLUS - P4,600 (approx. 74 euros) E-BLUS (Time: 1400 – 1700) The European training in Basic Laparoscopic Urological Skills will be held simultaneously with the pre-congress workshops but you may still join the other sessions once you are done with the laparoscopic pelvic exercises. Sports Activities Golf Color Run, Run for Fun The sports activities will be held on 14 June 2024 (Friday). Please choose the activities which you will be participating in.Start Time: 0700Venue: Fairways & Bluewater Golf Resort, Boracay Start Time: 0700Venue: Boracay Newcoast VillageA 3-km run untimed event. All participants are encouraged to wear a white shirt. At each kilometer mark, Color Runners are doused from head to toe in a different colored powder. Registration is free. Running with relatives and/or friends?(Required) Yes No Name and ages of accompanying persons(Required)NameAge Add Remove HOTEL ACCOMMODATION, FLIGHT DETAILS AND AIRPORT-TO-ISLAND TRANSFERSHotel accommodation(Required) Savoy Hotel Belmont Hotel Other NOTE: To book your Boracay Newcoast hotel of choice, please send an email to the PUA Secretariat through boracay2024@puaweb.org for direct coordination.Flight details(Required) Manila-to-Caticlan/Kalibo Caticlan/Kalibo-to-Manila For coordination of airport-to-island transfers Flight Specifics(Required)DateTimeFlight Number Add RemoveAirport of Arrival Caticlan Kalibo Travelling with a group? Yes No 13-59 y/o Accompanying Persons Quantity Price: Php 2,350.00 Quantity 60 y/o Accompanying Persons Quantity Price: Php 1,250.00 Quantity 3-12 y/o Accompanying Persons Quantity Price: Php 1,250.00 Quantity 13-59 y/o Accompanying Persons Quantity Price: Php 1,950.00 Quantity 60 y/o Accompanying Persons Quantity Price: Php 1,370.00 Quantity 3-12 y/o Accompanying Persons Quantity Price: Php 1,370.00 Quantity Names and ages of accompanying personsFirst NameLast Name Add Remove Total Total(Required)Your total feeTo complete your registration, please pay directly to the Philippine Urological Association through the following options: 1. Bank transfer: PHILIPPINE UROLOGICAL ASSOCIATION, INC. BDO Savings Account No. 0016 4019 6763 2. GCash payment: GCash Account No: 0917-524-4456 Account Name: FLORDELIZA GALITANE IMPORTANT NOTE: Send proof of payment through email (boracay2024@puaweb.org) or through viber (0917-524-4456).
