Personal Information
* Items marked with asterisk must be completed.
* Location
* User ID(Email)

※ Please ensure your e-mail address and other information are filled out accurately. It can not be modified after you sign up. All the updates for the event will be sent via the e-mail address you enter.

* Password

( Useable symbols : ~, !, @, $, %, ^, &, *, (, ), [, ], {, }, +, -, _, .)

* Confirmed Password
* Name
First Name : Last Name :

※ Your name will be printed on the name tag as you fill in and your given name will be capitalized automatically. If you need to edit your name (spelling, etc.), please contact us via e-mail. Office@asdp2024.org

* 성명(국문)
* 국문 소속

※ 해당 대학 / 종합병원을 선택하시면 영문 소속명과 주소가 자동으로 입력 됩니다. 소속이 검색되지 않을 경우 직접 작성해 주시기 바랍니다.

*주소
우편번호검색
* 면허번호
* Institution
* Department
* Title
* Degree
Address(Work)
Phone No.
-
* Mobile No.
-
Fax
-
Addition Information
I’d like to request an invitation letter for a VISA application.
※ Those who may need our official invitation letter for issuing a VISA, please check the box and fill out the below form.
※ Please send us an e-mail (office@asdp2024.org) for a soft copy of the Invitation Letter. After checking your registration and payment status, we will send the letter via e-mail. If you need a hard copy, you may be charged an additional fee for postal costs.
Name on Passport
First Name: Last Name:
Location
Passport Number
Date of Birth
Date of Issue
Date of Expiry
How did you find out about ASDP 2024?
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