Entry Form for 2024 USJ-CMSP Mycobacterial Diseases Panel Meeting in Okinawa

Please fill in the following information. There is no charge for the conference.

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Email *
First name *
Middle name
Surname *
Name in Chinese characters (if applicable)
Position *
Affiliation (Institutions/Companies) *
Department
Address
Phone number
Are you going to make a presentation during the conference?
 *
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