Conference & Hands-on Workshops using Fresh Frozen Cadavers | Department of Otorhinolaryngology, Faculty of Medicine, Khon Kaen University

Register

Registration for KKU Head and Neck Cadaveric Dissection Course 2021

February 4-5, 2021 Khon Kaen University, Khon Kaen, Thailand

Email address: *

Firstname: *

Lastname: *

Institute/ Hospital: *

Country: *

Specialty: *

ENT

Plastic surgery

Other *

Status: *

Resident

Fellow

Staff

Course *
(payment due by Dec 27, 2020)

Workshop + Lecture 15,000 THB

Lecture only 5,000 THB

How would you grade your surgical competency? *

Beginner level

Intermediate level

Advanced level

Food preferences

No specific preferences

Halal

Vegetarian

Food allergies (please specify) *

All * signs are required.

Telegraphic Bank Transfer

Beneficiary: E.N.T. meeting

Bank name: Siam Commercial Bank Branch Khon Kaen University

City: Khon Kaen Country: Thailand

Account name: 551-439681-2 Swift code: SICOTHBK

Participants will be responsible for any bank fee
Please photocopy your telegraphic bank transfer to confirm your payment and send to: Watcte@kku.ac.th or Fax to 66-43-202490
If there is any enquiry, please contact Watcte@kku.ac.th

FIRST COME, FIRST SERVE
No refund for any cancellation