The document outlines registration, cancellation, transfer, and refund policies for an OBGYN Board Examination Part One Review Course taking place from April 10-15, 2016 at King Abdulaziz Medical City in Jeddah, Saudi Arabia. It states that registrants will receive an official receipt after paying the registration fee and must sign acknowledging they have read and agree to the policies. Cancellation of a confirmed registration requires notification at least three weeks before the activity date. Refunds will be granted in full for cancellations or postponements due to circumstances beyond the control of the training center. No refunds will be given for no-shows unless a justifiable reason is approved in advance. The registration fee is 3000

1. REGISTRATION POLICY:
1. Registrant should receive an official receipt after payment of the registration fee and no further actions shall be
taken without presenting the original receipt.
2. The registrant should read and sign for having read and the policies stated herein, which is located at the bottom
part of this page.
CANCELLATION, TRANSFER AND REFUND POLICY:
1. Cancellation of confirmed registration shall require notification at least three (3) weeks before the actual date of
activity.
2. In any circumstances that are beyond the control of LSTC, cancellation or postponement of the educational
activity shall be granted a full refund.
3. “No show” on the day of the activity shall indicate, “No refund,” except for cases wherein the registrant had
submitted a letter or email, stating a justifiable reason that is duly supported and approved by the registrant’s
direct supervisor, besides the approval of LSTC Supervisor.
 I have read and agree to the above stated terms and conditions regarding registration, cancellation, transfer and
refund policy.
REGISTRANT’S SIGNATURE
NATIONAL GUARD HEALTH AFFAIRS | KING ABDULAZIZ MEDICAL CITY – WR
KING SAUD BIN ABDULAZIZ UNIVERSITY FOR HEALTH SCIENCES – JEDDAH
DEANSHIP OF POSTGRADUATE EDUCATION
OB&GYN BOARD EXAMINATION
PART ONE REVIEW COURSE
10-15 APRIL 2016
WRITE YOUR NAME AS YOU WOULD LIKE IT TO APPEAR ON THE CERTIFICATE
FIRST NAME :
MIDDLE NAME :
LAST NAME :
HOSPITAL :
DEPARTMENT : JOB TITLE :
SAUDI COUNCIL :
EMAIL : MOBILE NO. :
COURSE FEE: SR3000
FOR INFORMATION AND REGISTRATION, PLEASE CONTACT LIFE
SUPPORT TRAINING CENTER
FOR BANK PAYMENTS:
MS. RABAB AL-HAMEDI
al-hamdi.R@hotmail.com
Direct +966 122242022
MR. RESTY V. IMPERIAL
imperialRV@ngha.med.sa
Direct +966 122245045
Arab National Bank
Employee Social Club National Guard
IBAN: SA83 3040 0108 0026 3156 0015
Pay thru Arab National Bank ONLY
*For Bank Payment/Online Banking, please send us a clear copy of the proof of payment together with the
registration form