The Second International Conference on
Traditional Chinese Medicine Tele-healthcare Registration Form
Fields marked with * are required
Your Name*
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Mr.
Miss/Ms
CMP
Dr (MD)
Dr (PhD)
Prof
Please select appellation.
Please input full name.
Email Address*
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Region*
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Africa
Asia
Europe
North America
Oceania
South America
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Participant Category*
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Academic
Students
Practitioners
TCM product manufacturers
TCM product distributors
TCM product distributors
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Affiliation*
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Corresponding Address*
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Register TASTCMI membership to enjoy more information*
Yes, also register TASTCMI membership to enjoy more infomation
No, thanks, just register the conference
* Please select one of the above options.
Date of Birth*
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Gender*
Male
Female
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Degree*
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Password*
Your password must have at least 8 chars
Your password must have at least 1 big letter.
Your password must have at least 1 number.
Your password must have at least 1 special char.
Enter Password again for verification*
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