Faculty Information

(Information will be used for Certificate and CPE attendance submission)

Title(Required)

Designation/Division/Department/Faculty/Institution(Required)

Please provide us your Designation, Division, Department, Faculty and Institution that you want us to publish on our publication and website

Email(Required)

Secretary or PA Email

Mobile No.(Required)

Other

If yes, please provide the Thai custom size for dinner:(Required)

Lecture Recording and Publication Consent

It is understood that all material will be used in a legitimate manner, for educational and marketing purposes, both internally and outside ASEAN MISST, and is not intended to cause any harm or undue embarrassment to the parties involved.

Lecture Abstract
Your lecture abstract may be printed on programme booklet and are made available on event official website (in secured PDF format). Kindly indicate whether you allow the publication of your synopsis.

Presentation Slides
Your presentation slides may be made available on the event official website. Kindly indicate whether you object to it being posted on the website in secured PDF format.

A/V Equipment Needs

Name: (Short Answer)(Required)

Hotel Accommodation

Check-in Date:

Check-out Date:

Comments/Requests:

CAPTCHA

Faculty Registration Form

Faculty Information

Lecture Recording and Publication Consent

A/V Equipment Needs

Hotel Accommodation