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• WelcomeDinner• Meals:Dinner

Thursday, July 13, 2017 - Departure from USA

Day1-Saturday July 15, 2017Arrive Johannesburg

• Meals:Breakfast,Lunch

Day2-Sunday July 16, 2017

Tour of Johannesburg & Pretoria

Pakistani-DescentPhysiciansSociety(PPS)APPNAIllinoisChapter

SouthAfrica(4thInternationalCMETrip)FridayJuly15–SundayJuly23,2017

(DeparturefromUSJuly13,returninUSon24th)

Johannesburg

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• AfterbreakfastDrivetoKrugerNationalparkviaScenicroute(about6-hoursdrive)

• Meals:Breakfast,Lunch,Dinner

Day3-Monday July 17, 2017

Kruger National Park

• Morningandafternoongamedrive.• Meals:Breakfast,Lunch,Dinner

Day4-Tuesday July 18, 2017Morning and Afternoon Game Drive

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• BreakfastanddrivetoJohannesburgInternational• FlyoutofJohannesburgairporttoCapeTownTransfertohotelTheTableBay• Dinnerathotel• Meals:Breakfast,Lunch,Dinner

Day5-Wednesday July 19, 2017Morning Game Safari

• • Meals:Breakfast,Dinner

Day6-Thursday July 20, 2017Robben island & Cape Town

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• CapeofGoodHopeNatureReserve• Thenewlighthouse• Meals:Breakfast,Lunch

Day7-Friday July 21, 2017Cape Peninsula

• Meals:Breakfast,Dinner• FarewellDinnerandTalentnight

Day8-Saturday July 22, 2017Farewell Dinner and Talent Night

Day9-Sunday July 23, 2017• TransfertoairportforflighttoUS(Check-outtime12:00Noon)

• Meals:Breakfast

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Pakistani-DescentPhysiciansSociety(PPS)APPNAIllinoisChapterSouthAfrica(4th.InternationalCMETrip)

FridayJuly15–SundayJuly23,2017(DeparturefromUSJuly13,returninUSon24th)

REGISTRATION FORMPersonal Information:Person 1. (Name as it appears on your passport, spell as they are on pass-port) First Name____________________________________________________Middle Initial__________________________________________________Last Name____________________________________________________Nationality/country of passport____________________________________Passport Number_______________________________________________Expiration date on passport_______________________________________Date of Birth on Passport_________________________________________Departure City/airport___________________________________________Meals: If we are not able to provide Zabiha meat, what would like to have in meals (circle one): Fish VegetarianYou will not be able to change your preference.

Person 2. (Name as it appears on your passport, spell as they are on pass-port) First Name____________________________________________________Middle Initial__________________________________________________Last Name____________________________________________________Nationality/country of passport____________________________________Passport Number_______________________________________________Expiration date on passport_______________________________________Date of Birth on Passport _________________________________________Departure City/airport___________________________________________Meals: If we are not able to provide Zabiha meat, what would like to have in meals (circle one): Fish VegetarianYou will not be able to change your preference.

Person 3. (Name as it appears on your passport, spell as they are on pass-port) First Name____________________________________________________Middle Name__________________________________________________Last Name____________________________________________________Nationality/country of passport____________________________________Passport Number_______________________________________________Expiration date on passport_______________________________________Date of Birth on Passport _________________________________________Departure City/airport___________________________________________Meals: If we are not able to provide Zabiha meat, what would like to have in meals (circle one): Fish VegetarianYou will not be able to change your preference.

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Person 4. (Name as it appears on your passport, spell as they are on pass-port) First Name____________________________________________________Middle Name__________________________________________________Last Name____________________________________________________Nationality/country of passport____________________________________Passport Number_______________________________________________Expiration date on passport_______________________________________Date of Birth on Passport _________________________________________Departure City/airport___________________________________________Meals: If we are not able to provide Zabiha meat, what would like to have in meals (circle one): Fish VegetarianYou will not be able to change your preference.

Person 5. (Name as it appears on your passport, spell as they are on pass-port) First Name____________________________________________________Middle Name__________________________________________________Last Name____________________________________________________Nationality/country of passport____________________________________Passport Number_______________________________________________Expiration date on passport_______________________________________Date of Birth on Passport _________________________________________Departure City/airport___________________________________________Meals: If we are not able to provide Zabiha meat, what would like to have in meals (circle one): Fish VegetarianYou will not be able to change your preference.

Information for communication:Street Address_______________________________________________________City_____________________State______________________________________Zip______________________Phone (home)__________________Phone (cell)________________Fax________________E-mail_____________________________________Hotel information:Number of rooms required___________(each room must have 2-pp, unless single supplement)Type of rooms (circle one): Room #1: 1-bed 2-beds Room #2: 1-bed 2-beds (Room type is not guaranteed)Special Needs (if any)__________________________________________________Visa: Tourist Visa is NOT required for US passport holdersRegistration deadlines: April 15, 2017 ** (Limited numbers on this trip)**Registration may be stopped prior, if maximum capacity of group is filled**All registrations will be entertained on first come – first registered and paid basis

The prices shown does not include International flights

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IMPORTANT NOTES:*If you book your own flights, please plan to arrive in Johannesburg on July 15 and return from Cape Town on July 23*Departure from Cape Town on 23rd. means, you will arrive back in US on 24th.

Payment Information: 2-Packages: During 2-nights in Kruger National Park for Safari, group will be split in 4 different Lodges. Because there are not enough rooms in one lodge. Some of these lodges are slightly high tier (higher quality) and higher price, so we have 2- packages “A’ & “B”. The split is only for 2-nights in Kruger. You can pick one of the 2-packages, however, if the package you choose is not available at the time of your registration, we will automatically switch you to other package.Package “A” Cost per person for first & second person in same room (double occupancy) $3095=$______________Package “B” Cost per person for first & second person in same room (double occupancy) $3295=$______________Child under 12 years sharing room with parents $1995=$__________Child under Age of 2 FREE FREESingle Supplement/ One person in room (Add) $1050=$__________CME Fees: (All Physicians must register for CME) 200=$_____________ G. Total: $_____________________Full payment is due at the time of registration, which is fully refunded, less credit card processing charges + administrative fee of $300, by March 15, 2017

By Check (payable to Meetings Management International): Check #___________: Check Amount: $ ___________

By Credit Card (4-% processing fee will apply):Credit Card # _________________________________________ Exp. Date: _______Name on Credit Card: __________________________________ Amount: $ _______(If you are paying by credit card, 4% service fee will be charged)

Cancellation: Full payment is refundable (less credit card processing charges + administrative fee of $300), if cancelled by March 15, 2017A 50% refunds will be issued if cancelled after March 5, 2017 and before May 10, 2017No Refunds will be given if cancelled after May 10, 2017ALL CANCELLATIONS MUST BE SUBMITTED IN WRITING BY EMAIL OR FAX TO mona@meetingsnmore.us fax # 317-536-3366PPS ; Meetings Management International or its tour operators do not carry any trip cancellation insurance, it is your responsibility to buy any insurance, infor-mation on insurance will be sent to all registrants

Instructions:* This PPS Conference Registration Form can be used to register a group of up to 5 attendees. This form contains common Information pertaining to all registrants including the Primary Registrant. You must provide details of each member of your group.

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* Incomplete Applications may cause unnecessary delays in making your reser-vations.

* Please note that space is limited. PPS reserves the right to limit or refuse attendance at any time for any reason. Submitting this application does not guarantee you or your group to attend.

*Please send copy of passports of all registrants along with your application by fax or mail. *If you have any questions, please call at 317-222-1370If you are booking flights on own, you can call our travel agent Amax Travel at 713-278-8685 if you prefer

To contact Chairman of meeting Dr. Irfan Mirza, write at iamirza@aol.com

Disclaimer: The responsibility of PPS, Meetings Management International and its Tour Operator in coordinating tour, hotel, travel or visa arrangements is limited. PPS, Meetings Management International, and its tour operator assumes no liability whatsoever for injury, damage, loss, baggage loss, accident, delay or irregularity which may be occasioned either by reason of defect, through the acts or defaults of any company or person engaged in the management for travel or tour, or from any cause beyond PPS’s control. Room type and Zabiha Meat is not guaranteed.

Itinerary: Deviations to planned itinerary may occur due to weather, traffic or any other conditions beyond our control such as strike, acts of God, war, fire, acts of Government, riots, etc. We will do our best to insure that all the tours and visits are as mentioned in the itinerary that will be sent to all registrants.

Insurance: Attendees are required to have their own insurances for cancellation, emergency, accident, health or any travel related to this trip. Send your Registrations to:By Mail: Complete and mail enclosed registration form along with a check pay-able to meetings Management International and mail:Meetings Management International722 Willow Pointe South DrivePlainfield, IN 46168By Fax: Complete and fax this registration form along with your credit card infor-mation at 317-536-3366Your Name: ____________________________ Signature ____________________________Date: ________________________