Country* |
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E-mail* |
Primary E-mail |
※ All future correspondence will be sent to this e-mail address.
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Secondary E-mail |
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Name* |
Given name |
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Family name |
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NOTE
1. Your name will appear on your name badge same as what you entered in the blank.
If you would prefer your name to be presented in a specific way, please contact the Secretariat at inter.ksss@gmail.com.
2. The first letter of your given name and family name will be automatically capitalized.
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Prefix* |
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Affiliation* |
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DR License Number |
※ Domestic Only
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Mobile Phone* |
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※ Country Code - Area code + Number
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Office Phone |
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※ Country Code - Area code + Number
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Request Invitation Letter for VISA |
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Participation in Lunch* |
May 23 (Thu) |
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May 24 (Fri) |
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Welcome Reception* |
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Gala Dinner* |
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Special Dietary Request* |
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