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The 5th International Conference on Prevention and Management of Chronic Conditions: Nursing Innovation in the Next Era
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Host
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About Thailand
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Presentation
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Registration for Participants
Note : * Please enter all data in English language.
Title Name:
*
- Dr.
- Mr.
- Mrs.
- Ms.
- Other
Title Name (Other, Please specify):
First Name:
*
Middle Name:
Last Name:
*
Occupation:
*
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- Nurse
- Instructor
- Student
- Other
Occupation (Other, Please specify):
Workplace Type:
*
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- Hospital
- University
- University Hospital
- Other
Workplace Type (Other, Please specify):
Organization Name:
*
Country:
*
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- Afghanistan
- Åland Islands
- Albania
- Algeria
- American Samoa
- Andorra
- Angola
- Anguilla
- Antigua and Barbuda
- Argentina
- Armenia
- Aruba
- Australia
- Austria
- Azerbaijan
- Bahamas
- Bahrain
- Bangladesh
- Barbados
- Belarus
- Belgium
- Belize
- Benin
- Bermuda
- Bhutan
- Bolivia (Plurinational State of)
- Bonaire, Sint Eustatius and Saba
- Bosnia and Herzegovina
- Botswana
- Bouvet Island
- Brazil
- British Indian Ocean Territory
- British Virgin Islands
- Brunei Darussalam
- Bulgaria
- Burkina Faso
- Burundi
- Cabo Verde
- Cambodia
- Cameroon
- Canada
- Cayman Islands
- Central African Republic
- Chad
- Chile
- China
- China, Hong Kong Special Administrative Region
- China, Macao Special Administrative Region
- Christmas Island
- Cocos (Keeling) Islands
- Colombia
- Comoros
- Congo
- Cook Islands
- Costa Rica
- Côte d’Ivoire
- Croatia
- Cuba
- Curaçao
- Cyprus
- Czechia
- Democratic Republic of the Congo
- Denmark
- Djibouti
- Dominica
- Dominican Republic
- Ecuador
- Egypt
- El Salvador
- Equatorial Guinea
- Eritrea
- Estonia
- Eswatini
- Ethiopia
- Falkland Islands (Malvinas)
- Faroe Islands
- Fiji
- Finland
- France
- French Guiana
- French Polynesia
- French Southern Territories
- Gabon
- Gambia
- Georgia
- Germany
- Ghana
- Gibraltar
- Greece
- Greenland
- Grenada
- Guadeloupe
- Guam
- Guatemala
- Guernsey
- Guinea
- Guinea-Bissau
- Guyana
- Haiti
- Heard Island and McDonald Islands
- Holy See
- Honduras
- Hungary
- Iceland
- India
- Indonesia
- Iran (Islamic Republic of)
- Iraq
- Ireland
- Isle of Man
- Israel
- Italy
- Jamaica
- Japan
- Jersey
- Jordan
- Kazakhstan
- Kenya
- Kiribati
- Kuwait
- Kyrgyzstan
- Latvia
- Lebanon
- Lesotho
- Liberia
- Libya
- Liechtenstein
- Lithuania
- Luxembourg
- Madagascar
- Malawi
- Malaysia
- Maldives
- Mali
- Malta
- Marshall Islands
- Martinique
- Mauritania
- Mauritius
- Mayotte
- Mexico
- Micronesia (Federated States of)
- Monaco
- Mongolia
- Montenegro
- Montserrat
- Morocco
- Mozambique
- Myanmar
- Namibia
- Nauru
- Nepal
- Netherlands
- New Caledonia
- New Zealand
- Nicaragua
- Niger
- Nigeria
- Niue
- Norfolk Island
- North Macedonia
- Northern Mariana Islands
- Norway
- Oman
- Pakistan
- Palau
- Panama
- Papua New Guinea
- Paraguay
- Peru
- Philippines
- Pitcairn
- Poland
- Portugal
- Puerto Rico
- Qatar
- Republic of Korea
- Republic of Moldova
- Réunion
- Romania
- Russian Federation
- Rwanda
- Saint Barthélemy
- Saint Helena
- Saint Kitts and Nevis
- Saint Lucia
- Saint Martin (French Part)
- Saint Pierre and Miquelon
- Saint Vincent and the Grenadines
- Samoa
- San Marino
- Sao Tome and Principe
- Sark
- Saudi Arabia
- Senegal
- Serbia
- Seychelles
- Sierra Leone
- Singapore
- Sint Maarten (Dutch part)
- Slovakia
- Slovenia
- Solomon Islands
- Somalia
- South Africa
- South Georgia and the South Sandwich Islands
- South Sudan
- Spain
- Sri Lanka
- State of Palestine
- Sudan
- Suriname
- Svalbard and Jan Mayen Islands
- Sweden
- Switzerland
- Syrian Arab Republic
- Tajikistan
- Thailand
- Timor-Leste
- Togo
- Tokelau
- Tonga
- Trinidad and Tobago
- Tunisia
- Turkey
- Turkmenistan
- Turks and Caicos Islands
- Tuvalu
- Uganda
- Ukraine
- United Arab Emirates
- United Kingdom of Great Britain and Northern Ireland
- United Republic of Tanzania
- United States Minor Outlying Islands
- United States of America
- United States Virgin Islands
- Uruguay
- Uzbekistan
- Vanuatu
- Venezuela (Bolivarian Republic of)
- Viet Nam
- Wallis and Futuna Islands
- Western Sahara
- Yemen
- Zambia
- Zimbabwe
Province (for Thai people):
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- Amnat Charoen
- Ang Thong
- Bangkok
- Bueng Kan
- Buriram
- Chachoengsao
- Chainat
- Chaiyaphum
- Chanthaburi
- Chiang Mai
- Chiang Rai
- Chonburi
- Chumphon
- Kalasin
- Kamphaengphet
- Kanchanaburi
- Khon Kaen
- Krabi
- Lampang
- Lamphun
- Loei
- Lopburi
- Mae Hong Son
- Maha Sarakham
- Mukdahan
- Nakhon Nayok
- Nakhon Pathom
- Nakhon Phanom
- Nakhon Ratchasima
- Nakhon Sawan
- Nakhon Si Thammarat
- Nan
- Narathiwat
- Nong Bua Lamphu
- Nong Khai
- Nonthaburi
- Pathum Thani
- Pattani
- Phang Nga
- Phatthalung
- Phayao
- Phetchabun
- Phetchaburi
- Phichit
- Phitsanulok
- Phra Nakhon Si Ayutthaya
- Phrae
- Phuket
- Prachinburi
- Prachuap Khiri Khan
- Ranong
- Ratchaburi
- Rayong
- Roi Et
- Sa Kaeo
- Sakon Nakhon
- Samut Prakan
- Samut Sakhon
- Samut Songkhram
- Saraburi
- Satun
- Sing Buri
- Sisaket
- Songkhla
- Sukhothai
- Suphan Buri
- Surat Thani
- Surin
- Tak
- Trang
- Trat
- Ubon Ratchathani
- Udon Thani
- Uthai Thani
- Uttaradit
- Yala
- Yasothon
City (for foreigner):
*
Mobile:
Email:
*
Thai professional license number (limited to 10 digits):
Receipt/tax invoice name on behalf of companies:
Receipt/tax invoice address
Participant:
Thai participant
Foreign participant
Thai and Foreign
Undergraduate
Student Studying in Thailand
Thai and Foreign
Graduate
Student Studying in Thailand
Foreign
Undergraduate
Student
Foreign
Graduate
Student
Please attach the student ID card, if you select student participant:
*
Please select diet:
Regular
Vegetarian
Halal
Participant Welcome Reception on Wednesday, Feb 15, 2023 05.30 PM -08.00 PM.
(The welcome reception is included in the conference registration fee)
Yes
No
The Policy of Personal Data Protection
In the 5th International Conference on Prevention and Management of Chronic Conditions: Nursing Innovation in the Next Era, all information in the registration system (composed of the given name, the full name, the position, the organization affiliation, the professional license number, telephone number, email address, and address) and photography, video, and audio recordings during the conference are only obtained to aim for planning, project management, communication, collaboration, public relations, evaluation, and a follow-up all processes involving with this conference only. All of your personal data will be kept confidential and anonymous with the highest security after the end of this conference for one year only.
Accept the announcement of all personal data information and privacy policy
Submit Register