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Personal Information
 All fields marked with an asterisk(*) should be completed. 
* Country
* User ID(Email)

※ Please make sure you accurately enter your e-mail address since you cannot modify it later. All future correspondence will be sent to this e-mail address.

* Password
* Confirm Password
* Title
* Degree
* Name
First Name : Family Name (Last Name) :

Note

1. Your name will appear on your name badge exactly as it is entered in these fields. If you wish your name to appear in a specific way, please contact the Secretariat at HBPsurgery@khbps.org.

2. The first letter of your given name and all letters of your family name will be automatically capitalized.

* 성명(국문)
* 국문 소속

※ 해당 대학 / 종합병원을 선택하시면 영문 소속명과 주소가 자동으로 입력 됩니다. 소속이 검색되지 않을 경우 직접 작성해 주시기 바랍니다.

주소
우편번호검색
* 한국간담췌외과학회
* 의사면허번호
* Affiliation
* Department
* Address(Work)
* Phone(Work)
-
* Cell Phone
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Fax
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Special Request
for Food
Invitation Letter
* I require an invitation letter for my visa application
※ To receive an invitation letter for your visa application, please fill out the below fields accurately. After making full payment, you may download the invitation letter from “MY PAGE.”
※ In order to receive a hard copy of the invitation letter, you will be required to send USD 30 for postage to the Secretariat in advance. If you require a hard copy, please contact the Secretariat (HBPsurgery@khbps.org).
Name on Passport
First Name :
Family Name (Last Name):
Country (Working)
Passport Number
Date of Birth
Date of Issue
Date of Expiry
Addition Information
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