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Registration for VPRM 2019
*
First Name(s)
*
Last Name(s)
*
Email
Salutation
Professor
Dr
Mr
Mrs
Ms
*
University/Institution
*
Position
*
Name as it will appear on name badge
Email for display in program materials
Address
Phone number (country code-area code-phone no)
Alternative email address (if any)
Contact person in the event of emergency
Phone number of emergency contact person (country code-area code-phone no)
Do you require a visa letter? (please email elaine.hung@apru.org to request for a visa letter)
Yes
No
Please indicate you dietary requirements, if any
Date of arrival in Bangkok (if known) (MM/DD/YYYY)
Date of departure from Bangkok (if known) (MM/DD/YYYY)
Additional information which you would like to share with the organiser
*
Which of the following activities do you plan to attend (check all that apply)?
Welcome and Networking Reception on October 28 evening
Dinner Reception on October 29
Networking Lunch/Lunch Talk on October 30
Campus Tour on October 30, 2019 afternoon
SUBMIT
APRU Vice Presidents for Research Meeting 2019
October 28-30, 2019
Chulalongkorn University
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