Register Please register below for OSSA 2024 OSSA2024_Registration form v3 Late feeOSSA 2024 - DELEGATE REGISTRATIONFor academic and trade delegates Please complete this form as thoroughly as possible. 1. Mixed CasePlease complete the registration form in Mixed Case (Eg. Mr Siya Kolisi) and NOT ALL CAPS or small case. 2. CompletePlease complete the form as thoroughly as possible. Required fields that are left empty of completed incorrectly will be marked in red when you want to submit the form. 3. Response time 10 working daysDirectly after registration, you will receive an automated confirmation of submission e-mail. Within 10 working days following registration you will receive a comprehensive and custom confirmation and invoice.(We double check every submission to ensure the best registration experience for you.) 4. PaymentIf you are confident that your registration fee was calculated correctly upon registration, you are welcome to pay via EFT or ONLINE via Mobipaid.The banking details and Mobipaid link will be provided in both the automated registration e-mail and on your custom confirmation and invoice. 5. EnquiriesIf you need to change any of your registration details, have a question or need to query anything pertaining your congress registration, please reach out to us via e-mail at ossacongress@rkcommunication.co.za Name and name badge detailsPlease use Mixed Case entriesTitle- Select -MsMrsMrDrProfFirst nameLast nameInitialsPreferred badge name & surnameInstitution and city for name badgePersonal detailsID / Passport numberHPCSA numberEmailMobilePhone (work)CityCountrySelect CountryBotswanaLesothoMozambiqueNamibiaSouth AfricaZimbabweAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelauBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDemocratic Republic of the Congo (Kinshasa)DenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMyanmarNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRepublic of the Congo (Brazzaville)ReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaProvince Eastern Cape Free State Gauteng KwaZulu-Natal Limpopo North-West Northern Cape Mpumalanga Western Cape OtherPlease specify provinceSpecial dietary requirements - Select -NoneHalaalVegetarianOther dietary requirementOther special dietary requirements Accommodation you plan on booking yourself- Select -The Boardwalk HotelCourtyard HotelCity LodgeTown LodgeRoad LodgeOther accommodationOther accommodationPOPIA (Protection of personal information)OSSA and RK Communication will only manage your personal and registration details in accordance with the POPI Act of South Africa and European GDPR standards.POPIA Process registration info- Select -Yes, OSSA & RK Communication (organisers) may process my personal details for registrationNoPOPIA congress marketing consent- Select -Yes, OSSA and RK Communication (organisers) may send relevant congress marketing material for future events in accordance with the POPI Act.NoOSSA membershipOSSA member: Ophthalmologist who is a member of OSSA whose latest membership invoice has been paid and updated on the OSSA Autoprax platform. Non-member: Delegate who is not a registered member of OSSA or a member whose latest membership invoice has not been paid and updated on the OSSA Autoprax platform.Are you a paid-up member of OSSA? Yes Yes, retired member No, non-member ophthalmologist No, non-member allied health, administrator, trade delegate or otherRegistration categoryRegistration category Ophthalmologist Registrar Medical officer Dr from other discipline Optometrist Nurse Orthoptist Practice manager / Administrator Ocularist Ophthalmic assistant Trade Other registration categorySpecify other registration categoryPlease indicate company- Select company from OSSA regular exhibitors list -AbbVie (Pty) LtdAdcock Ingram OphthalmicsAfrica20TwentyAlcon Laboratories (SA) (Pty) LtdApex VisionApplesurgAspen PharmaBausch & LombCombined Medical SpecialitiesDoctors For Life InternationalEnvision AfricaEpic Vision (Pty) LtdEurotech OpticalEyepharmaFagron SAFourth Dimension MedicalGEMSGen-Eye (Pty) LtdGenop Healthcare (Pty) LtdGoodX SoftwareGRID WEALTHIntamedI-Sight AfricaisoClear & Bausch & LombKiDS Vision SAMedequipMediFin Financial ServicesMedical ProtectionNational Medical Supplies (NMS)Next Biosciences (Pty) LtdNulane technologiesOculateOlleyesOphtec SAOphthalmologiocal Society of South Africa (OSSA)Ophthalmology Management Group Limited (OMG)PPS Insurance & J B Financial ServicesRetina South AfricaRight to Sight TrustRocheSANCBScreen for life - SA Diabetic Retinopathy Screening ProgrammeSouth African National Blood Service (SANBS)Surgical & Ophthalmic SuppliesSynergy Medical (Pty) LtdTshemba FoundationVertice MedTechXpedient MedicalZEISSI have provide company name aboveCompany / Institution / Hospital detailsCompany name for invoiceBilling addressBilling cityBilling postal codeBilling countrySelect CountryBotswanaLesothoMozambiqueNamibiaSouth AfricaZimbabweAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelauBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDemocratic Republic of the Congo (Kinshasa)DenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMyanmarNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRepublic of the Congo (Brazzaville)ReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaVAT numberEmail of person responsible for paymentPerson responsible for paymentCongress attendancePre-congress masterclassesOphthalmologists, registrars & MO'sPre-congress masterclasses - Wed, 28 Feb 2024 Not attending Only Anterior segment Masterclass - AM Only Posterior segment Masterclass - PM Only Neurotoxin and Fillers Masterclass - AM Only Neurotoxin and Fillers Masterclass - PM Both Anterior and Posterior Masterclasses Anterior segment AM & Neurotoxin and Fillers Masterclasses - PM Neurotoxin and Fillers AM & Posterior segment Masterclasses - PMFees - Pre-congress masterclasses - Wed, 28 Feb 2024 R1 900 - Two masterclasses as ophthalmologist R1 200 - One as ophthalmologist R950 - Two masterclasses as MO / Registrar R600 - One as MO / RegistrarWetlab - Fully bookedOphthalmologists, registrars & MO'sWetlab during congress R0 - Not attending - fully bookedCongress registration feesPlease indicate days attending Thursday, 29 Feb 2024 Friday, 1 Mar 2024 Saturday, 2 Mar 2024 NoneFull congress attendance MEMBER R9 800 - Ophthalmologist in private practice or limited private practice MEMBER R7 600 - Ophthalmologist in public service with no private practice MEMBER R4 100 - Medical associate member: Registrar in Ophthalmology, Medical Officers and GPs MEMBER R9 800 - Medical Associate member: Ophthalmologists practicing overseas MEMBER R5 300 - Non-Medical Associate member Registered with other Boards or Councils MEMBER R0 - Honorary life member & retired members NON-MEMBER R14 050 - Ophthalmologist in private practice or part-time private practice NON-MEMBER R13 250 - Ophthalmologist in full-time public service with no private practice NON-MEMBER R8 000 - Ophthalmologist other African countries (Excluding South Africa) NON-MEMBER R14 050 - Ophthalmologist from abroad NON-MEMBER R7 600 - Optometrist in private practice NON-MEMBER R5 300 - Medical officer in Ophthalmology / Registrar / GPs NON-MEMBER R5 300 - Practice Manager & Administrator NON-MEMBER R5 300 - Ophthalmic Assistant NON-MEMBER R5 300 - Ophthalmic Nurse NON-MEMBER R5 300 - Optometrist in full-time government or tertiary employment NON-MEMBER R5 300 - Orthoptist / Ocularist / Community Field Worker TRADE R6 750 - Additional trade delegate (in addition to 2 free delegates per stand space) TRADE R0 - Free trade delegate registration (2 Free delegates per stand space) R0 - Free invited international speaker / delegate invited by organisers from outside the field of ophthalmology / sponsored speakerTwo day congress attendance (Th-Fr) MEMBER R8 400 - Ophthalmologist in private practice or limited private practice MEMBER R6 500 - Ophthalmologist in public service with no private practice MEMBER R3 600 - Medical associate member: Registrar in Ophthalmology, Medical Officers and GPs MEMBER R8 400 - Medical Associate member: Ophthalmologists practicing overseas MEMBER R4 500 - Non-Medical Associate member Registered with other Boards or Councils MEMBER R0 - Honorary life member & retired members NON-MEMBER R12 000 - Ophthalmologist in private practice or part-time private practice NON-MEMBER R11 400 - Ophthalmologist in full-time public service with no private practice NON-MEMBER R6 800 - Ophthalmologist other African countries (Excluding South Africa) NON-MEMBER R12 000 - Ophthalmologist from abroad NON-MEMBER R6 500 - Optometrist in private practice NON-MEMBER R4 500 - Medical officer in Ophthalmology / Registrar / GPs NON-MEMBER R4 500 - Practice Manager & Administrator NON-MEMBER R4 500 - Ophthalmic Assistant NON-MEMBER R4 500 - Ophthalmic Nurse NON-MEMBER R4 500 - Optometrist in full-time government or tertiary employment NON-MEMBER R4 500 - Orthoptist / Ocularist / Community Field Worker TRADE R5 800 - Additional trade delegate (in addition to 2 free delegates per stand space) TRADE R0 - Free trade delegate registration (2 Free delegates per stand space) R0 - Free invited international speaker / delegate invited by organisers from outside the field of ophthalmology / sponsored speakerTwo day congress attendance (Fr-Sa) MEMBER R8 400 - Ophthalmologist in private practice or limited private practice MEMBER R6 500 - Ophthalmologist in public service with no private practice MEMBER R3 600 - Medical associate member: Registrar in Ophthalmology, Medical Officers and GPs MEMBER R8 400 - Medical Associate member: Ophthalmologists practicing overseas MEMBER R4 500 - Non-Medical Associate member Registered with other Boards or Councils MEMBER R0 - Honorary life member & retired members NON-MEMBER R12 000 - Ophthalmologist in private practice or part-time private practice NON-MEMBER R11 400 - Ophthalmologist in full-time public service with no private practice NON-MEMBER R6 800 - Ophthalmologist other African countries (Excluding South Africa) NON-MEMBER R12 000 - Ophthalmologist from abroad NON-MEMBER R6 500 - Optometrist in private practice NON-MEMBER R4 500 - Medical officer in Ophthalmology / Registrar / GPs NON-MEMBER R4 500 - Practice Manager & Administrator NON-MEMBER R4 500 - Ophthalmic Assistant NON-MEMBER R4 500 - Ophthalmic Nurse NON-MEMBER R4 500 - Optometrist in full-time government or tertiary employment NON-MEMBER R4 500 - Orthoptist / Ocularist / Community Field Worker TRADE R5 800 - Additional trade delegate (in addition to 2 free delegates per stand space) TRADE R0 - Free trade delegate registration (2 Free delegates per stand space) R0 - Free invited international speaker / delegate invited by organisers from outside the field of ophthalmology / sponsored speakerSingle day congress attendance (Th) MEMBER R4 200 - Ophthalmologist in private practice or limited private practice MEMBER R3 250 - Ophthalmologist in public service with no private practice MEMBER R1 800 - Medical associate member: Registrar in Ophthalmology, Medical Officers and GPs MEMBER R4 200 - Medical Associate member: Ophthalmologists practicing overseas MEMBER R2 250 - Non-Medical Associate member Registered with other Boards or Councils MEMBER R0 - Honorary life member & retired members NON-MEMBER R6 000 - Ophthalmologist in private practice or part-time private practice NON-MEMBER R5 700 - Ophthalmologist in full-time public service with no private practice NON-MEMBER R3 400 - Ophthalmologist other African countries (Excluding South Africa) NON-MEMBER R6 000 - Ophthalmologist from abroad NON-MEMBER R3 250 - Optometrist in private practice NON-MEMBER R2 250 - Medical officer in Ophthalmology / Registrar / GPs NON-MEMBER R2 250 - Practice Manager & Administrator NON-MEMBER R2 250 - Ophthalmic Assistant NON-MEMBER R2 250 - Ophthalmic Nurse NON-MEMBER R2 250 - Optometrist in full-time government or tertiary employment NON-MEMBER R2 250 - Orthoptist / Ocularist / Community Field Worker TRADE R2 900 - Additional trade delegate (in addition to 2 free delegates per stand space) TRADE R0 - Free trade delegate registration (2 Free delegates per stand space) R0 - Free invited international speaker / delegate invited by organisers from outside the field of ophthalmology / sponsored speakerSingle day congress attendance (Fr) MEMBER R4 200 - Ophthalmologist in private practice or limited private practice MEMBER R3 250 - Ophthalmologist in public service with no private practice MEMBER R1 800 - Medical associate member: Registrar in Ophthalmology, Medical Officers and GPs MEMBER R4 200 - Medical Associate member: Ophthalmologists practicing overseas MEMBER R2 250 - Non-Medical Associate member Registered with other Boards or Councils MEMBER R0 - Honorary life member & retired members NON-MEMBER R6 000 - Ophthalmologist from abroad NON-MEMBER R5 700 - Ophthalmologist in full-time public service with no private practice NON-MEMBER R3 400 - Ophthalmologist other African countries (Excluding South Africa) NON-MEMBER R6 000 - Ophthalmologist from abroad NON-MEMBER R3 250 - Optometrist in private practice NON-MEMBER R2 250 - Medical officer in Ophthalmology / Registrar / GPs NON-MEMBER R2 250 - Practice Manager & Administrator NON-MEMBER R2 250 - Ophthalmic Assistant NON-MEMBER R2 250 - Ophthalmic Nurse NON-MEMBER R2 250 - Optometrist in full-time government or tertiary employment NON-MEMBER R2 250 - Orthoptist / Ocularist / Community Field Worker TRADE R2 900 - Additional trade delegate (in addition to 2 free delegates per stand space) TRADE R0 - Free trade delegate registration (2 Free delegates per stand space) R0 - Free invited international speaker / delegate invited by organisers from outside the field of ophthalmology / sponsored speakerSingle day congress attendance (Sa) MEMBER R4 200 - Ophthalmologist in private practice or limited private practice MEMBER R3 250 - Ophthalmologist in public service with no private practice MEMBER R1 800 - Medical associate member: Registrar in Ophthalmology, Medical Officers and GPs MEMBER R4 200 - Medical Associate member: Ophthalmologists practicing overseas MEMBER R2 250 - Non-Medical Associate member Registered with other Boards or Councils MEMBER R0 - Honorary life member & retired members NON-MEMBER R6 000 - Ophthalmologist in private practice or part-time private practice NON-MEMBER R5 700 - Ophthalmologist in full-time public service with no private practice NON-MEMBER R3 400 - Ophthalmologist other African countries (Excluding South Africa) NON-MEMBER R6 000 - Ophthalmologist from abroad NON-MEMBER R3 250 - Optometrist in private practice NON-MEMBER R2 250 - Medical officer in Ophthalmology / Registrar / GPs NON-MEMBER R2 250 - Practice Manager & Administrator NON-MEMBER R2 250 - Ophthalmic Assistant NON-MEMBER R2 250 - Ophthalmic Nurse NON-MEMBER R2 250 - Optometrist in full-time government or tertiary employment NON-MEMBER R2 250 - Orthoptist / Ocularist / Community Field Worker TRADE R2 900 - Additional trade delegate (in addition to 2 free delegates per stand space) TRADE R0 - Free trade delegate registration (2 Free delegates per stand space) R0 - Free invited international speaker / delegate invited by organisers from outside the field of ophthalmology / sponsored speakerSocial functions and eventsYoung Ophthalmologist SymposiumFor registrars & Ophthalmologists in their first five years post-graduation. Free of charge. Welcoming function: Free of charge for all registered for all three congress days. OSSA BanquetAll delegates & accompanying guests pay for this event. WOSA Breakfast (Fully booked)For Registrars, Medical officers & Ophthalmologists and is not exclusively for women.Young ophthalmologist symposium, Wednesday, 28 Feb 2024 Not attending, thank you. R0 - Free of charge for All ophthalmologists, registrars and Young ophthalmologists R300 - YO delegate (R0) & 1 additional unregistered guest (R300) R600 - YO delegate (R0) & 2 additional unregistered guests (R600) R900 - YO delegate (R0) & 3 additional unregistered guests (R900) R1 200 - YO delegate (R0) & 4 additional unregistered guests (R1200)Welcoming function, Thursday, 29 Feb 2024 (Free of charge for full attendance) Not attending, thank you. R0 - Free of charge for delegates registered for the full congress R300 - Delegate (R0) & 1 additional unregistered guest (R300) R600 - Delegate (R0) & 2 additional unregistered guests (R600) R900 - Delegate (R0) & 3 additional unregistered guests (R900) R1 200 - Delegate (R0) & 4 additional unregistered guests (R1200)Welcoming function, Thursday, 29 Feb 2024 (R300 pp for day registrations) Not attending, thank you. R300 - Delegate (R300) not registered for the full congress R600 - Delegate (R300) not registered for the full congress and 1 additional unregistered guest (R300) R900 - Delegate (R300) not registered for the full congress and 2 additional unregistered guests (R600) R1 200 - Delegate (R300) not registered for the full congress and 3 additional unregistered guests (R900) R1 500 - Delegate (R300) not registered for the full congress and 4 additional unregistered guests (R1 200)OSSA Banquet, Friday, 1 Mar 2024 (R400 pp) Not attending, thank you. R400 - For delegate dinner attendance R800 - Delegate (R400) & 1 additional unregistered guest (R400) R1 200 - Delegate (R400) & 2 additional unregistered guests (R800) R1 600 - Delegate (R400) & 3 additional unregistered guests (R1200) R2 000 - Delegate (R400) & 4 additional unregistered guests (R1600)WOSA Breakfast, Saturday, 1 Mar 2024 (Fully booked) Not attending, thank you.Shuttle serviceShuttle after congress from venue TO AIRPORT. (No shuttle from air port to venue available on arrival. Please support local Uber drivers or airport transport services.)Departure flight shuttle Yes, Saturday, 13:30 No thank youShuttle to airport Scheduled shuttle to airport for 1 person Scheduled shuttle to airport for 2 persons Scheduled shuttle to airport for 3 persons Scheduled shuttle to airport for 4 personsDeparture flight number (if available at time of registration)Departure Date (if available at time of registration)Departure Time (if available at time of registration)ANY OTHER INFORMATION THAT THE ORGANISERS NEED TO BE AWARE OF (Please specify below)Payment method EFT / bank deposit (preferred) Mobipaid - Secure card payment link Payment to be handled by company contact No payment required for free registrationNo payment items has been selected yet I have read and agree to the Terms and Conditions and Privacy Policy I consent to have this website store my submitted information so they can register me for this congress.Submit Registration