Asia Regional Consultation 2020
20th to 24th April 2020
Chang Gung Health and Culture Centre, Taoyuan, Taiwan
Enquiries : events@micahglobal.org
Participant's Registration Information
Kindly fill in all required information below to confirm your participation
First Name(s) *
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Last Name *
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Nationality *
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Country of Residence *
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Email *
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Mobile/WhatsApp *
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Date of Birth *
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Gender *
Name of Organisation *
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Role in Organisation/Position Title *
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Are you or your organisation a member of Micah? *
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Accommodation Required. (Please follow instructions for payment given on flyer) *
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The consultation will be in Mandarin and English. Please confirm if you are conversant in either of these languages. *
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Do you require a visa to enter Taiwan? (Please note all participants are responsible for checking their own visa requirements). If yes, please fill out information below so we can send visa support letters. *
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Full Name as written in Passport
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Passport Number
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Passport Expiry Date
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Do you require transfer from airport to the venue? *
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Have you booked your flights? (In order to us to arrange airport transfers and to confirm accommodation we will need your travel information). If you have booked your flights, please complete information below. If you have not booked, please send information to events@micahglobal.org as soon as possible
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Arrival Date
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Flight Number
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Arrival Time
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Arrival Airport and Terminal
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Departure Date
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Flight Number
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Departure Time
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Departure Airport and Terminal
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The venue has good accessibility and wheelchair access throughout. Please specify if you have specific needs.
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Please indicate any special dietary requirements
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Do you have Health/Medical Insurance? *
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If No, would you like Micah to arrange for you with Dr Walter GmbH ? (Provisit-Visum-Gruppe-Multipass)
Sectoral Interest : Is there a particular area of concern you are interested in?
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