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ลงทะเบียน
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หน้าแรก
ลงทะเบียน
Download Attachment
Program FAPA 2024.pdf
ลงทะเบียน
** ปิดรับลงทะเบียนแล้ว **
Category
*
Regular pharmacist
Pharmacy student
Accompanying person
Country
*
E-mail
*
First Name
*
Middle Name
Last Name
*
Title
*
Mr.
Mrs.
Ms.
Dr.
Asst. Prof.
Asst. Prof. Dr.
Assoc. Prof.
Assoc. Prof. Dr.
Prof.
Prof. Dr.
Current Field
*
Affiliation (Name of Pharmacy)
*
Department
Address
*
City / State
*
Mobile Phone
*
Contact Number (Emergency)
*
Date of Birth
*
Pharmacist Registration Number (If you have)
will attend 31 October 2024 Welcome Reception
*
Yes
No
will attend 2 November 2024 Gala Dinner
*
Yes
No
Abstrat Submission Paper NO. (If you have)
Special request for meals
Receipt Title
Receipt Address
Tax ID No.