Application Form (The 18th International Conference of Public Health Sciences)
Tuesday 2nd October 2018

Registration Fee:
Before September 10th, 2018 After September 10th, 2018
Practical Resident and Student 800 THB 1000 THB
Others 1,000 THB . 1,200 THB

Payment Method:
Bank: The Siam Commercial Bank Public Company Limited, Siam Square Branch
Account name: College of Public Health Sciences-Workshop
Account number: 038-4-38692-4

Name *
Surname *
Job title *
Organization *
E-mail Address *
Phone *
Address *
Student's Degree Program (If student please specify)
Member ID (If member Alumni and CPHSAPA please specify)
Need for Oral/Poster *
Required
Are you ready to pay the registration fee? (If yes, Please upload payment slip and If no, Please contact to e-mail later)
Please upload your abstract
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