Registration

Please access by PC, just in case if you could not complete registration on your smartphone!

Please press “Confirm” after filling out the required fields.
Mandatory fields
Please make sure to provide the accurate e-mail address to receive a confirmation and future correspondence.

■ Participant's information

Name First Name Family Name
Category Doctor
Co-Medical Staff
Medical, Pharmacy and Nursing Students
Other medical contributors
Name of Affiliation
Department
※If not applicable, please fill in "N/A".
City
Country
Phone
(half-width digit)

Please input without hyphenation(-)
Fax number
(half-width digit)

Please input without hyphenation(-)
Email
(half-width alphanumeric and digit)
Email again
(half-width alphanumeric and digit)

The same e-mail address with above for confirmation