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 puangtong@go.buu.ac.th
Please fill out completely so that your registration may be processed promptly.
Name *
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Email *
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Institution *
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Country *
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Gender *
Registration types *
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CNEU/CME code
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Could you put the passport no. for the non-Thai participants
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Presentation format *
Title
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Specific diet requirements (vegetarian, allergies) (as if)
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