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Pre-Registration
Participants

Payment by domestic registrants (domestic residents) can only be made by account transfer
Category *
Country *
의사면허번호
중복확인

※ 면허번호가 잘못 기재되는 경우, 평점이 인정되지 않을 수 있습니다.

국문성명 *
국문소속 *
First Name *

ex) Andrew

Last Name *

ex) Lee

Affiliation *
Postal Address
Postal / Zip Code
City
Phone(Work)

incl. country code (ex : 82-2-1234-5678)

Phone(Mobile)

incl. country code (ex : 82-10-1234-5678)

Fax
Email *
Registration fee
 
Remitter’s Name
Remittance Date


1) This payment method is provided by Eximbay and is billed as www.eximbay.com.
2) Note: Please note that the billing descriptor will be listed as EXIMBAY.COM.
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