Registration Form for “The 4th International Behavior and Mental Health Conference : Brain, Mind & Learning”
- Conference date: January 9 – 10 & 13 - 15, 2020
- Main Venue MD 601 Hall, 6th Floor, HRH Princess Maha Chakri Sirindhorn Building, The Faculty of Medicine, Burapha University, Chonburi, Thailand
- Registration Fee: without the registration fee, participants who nurses or doctors will gain the CNEU/CME
I- f you need any other specific facilities (wheelchair access etc.…), do not hesitate to inform the conference team via email
Please fill out completely so that your registration may be processed promptly.
Could you put the passport no. for the non-Thai participants
Specific diet requirements (vegetarian, allergies) (as if)
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This form was created inside of Burapha University.