「UHC Youth Dialogue 2017 : Beyond achievement - Sustaining UHC for the next Generation」Application Form
【Attention!!】This is one of the side-Events of UHC Forum 2017. If you want to join in this event, you need to register in advance. Please fill in your e-mail address in order for us to send you details about video-Conference system later.
(このイベントはUHC Forum 2017のサイドイベントの一環として行われ、事前登録が必須となっています。テレビ会議システムの使用法などを後日お送りしたいと思いますので、参加希望の方はe-mailアドレスの記載をお願いします。)
Your name (氏名) *
Your answer
E-mail address (メールアドレス) *
Your answer
Affiliation/University (所属/大学) *
Your answer
Please answer whether you come directly to the hotel or join from remote places. (会場またはWeb会議のどちらで参加する予定でしょうか。 *
If you have any questions, please fill out here, thank you. (ご意見・ご質問等ございましたら、こちらにご記入ください。)
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