2020 ICMDA EA Registration System (Onsite)
Date~August 7-9, 2020
Pre Conference Aug.7 (Fri)
Main Conference Aug.8-9 (Sat-Sun)

Venue~ Fu Jen Catholic University Hospital (FJCUH ) Taiwan

http://www.tcma.org.tw
Country or Area : *
Name: *
( Last name, Family name / First name, Given name)
Chinese Name:
( 姓 / 名)
Gender: *
Date of Birth : *
AD. YYYY / MM / DD
Identification or Passport Number : *
for Insurance ( ID number for Taiwanese / Passport number for foreigners )
Work Place or School: *
For students, please fill in the name of your present school.
Department or Faculty: *
For students, please fill in the major area of your study.
Position or Year of Study: *
For students, please fill in the number of year of your study.
Email Address : *
Contact Telephone Number :
Cell Phone Number : *
Postal Code : *
Address : *
Want To Participate : *
Registration Fee: *
Special discounts for students including room rates / All the registration fees include meals
Date of Accommodation : *
麗京棧酒店 Hotel Intrendy http://www.hotel-intrendy.com/
Accommodation Fee : *
Accommodation fee includes breakfast
Roommate : *
Required
Name of roommate :
Relationship with the roommate
Meal:8/8(Sat)Lunch *
Meal:8/8(Sat)Dinner *
Meal:8/9(Sun)Lunch *
Parallel Section A : *
Choose one option only / Different countries will share different contents.
Parallel Section B : *
Choose one option only / Different countries will share different contents.
TOUR : *
Campus Tour at Fu Jen Catholic University
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy