Test form

Title

Firstname*

Middle Name

Last Name*

Job Position*

Company / Organization*

Address*

E-mail*

Phone*

Registration Payment (Please choose one)

Please select

GSCF/APSMI/TSMIA Members

International Participants

ASEAN Members (Vietnam, Indonesia, Singapore, Malaysia, Philippines)

TSMIA Members (Thailand)

Non GSCF/APSMI/TSMIA Members

Please select

Early Bird Now until 15 October 2024 (Please ensure payment before 15 October 2024)

Standard Registration 16 October 2024 until 1 November 2024

*For registration rate, please refer to the Registration fees at the top section of the page

Do you require a VISA letter?

Yes

No

If yes, please specify details for VISA letter:

Name / Family name as appearing in your passport

Passport number

Issued by

Expiring date of passport

Date of entry

Date of departure

Any other information you need to be appearing in the letter

Will you join the on-site Pre-conference workshop on digital health (13 November 2024, at 15-17pm, at Athenee Hotel)?

Yes

No

This field should be left blank