1. Participant Information

*Country

¡Ø Bangladesh, Cambodia, Indonesia, Laos, Mongolia, Myanmar, Nepal, Vietnam registration fee is "FREE".

*Department
*Category II
*Name First*    Middle    Last *
*Title
*Department *Position
*Organization
*Address
Zip Code
*Tel *Mobile
*E-mail
*Special Request
*Password (*You need to modify the pre-registration.)

* Items marked with asterisk (*) must be completed.
¡Ø Members of Japan Society of Pain Clinicians and Chinese Association for the Study of Pain signed MOU with KPS receive 50% registration fee discount only for pre-registration period.

2. Registration Fee

Date
Cadaver Workshop
¡Ø Only scientific conference participants can register for Cadaver Workshop
Workshop
(17th. Nov)
Workshop
(18th. Nov)
Gala Dinner

3. Total amount

Scientific Meeting USD Training Conference USD
Cadaver Workshop USD Cadaver Workshop USD
Workshop I USD Workshop IV USD
Workshop II USD Workshop V USD
Workshop III USD Workshop VI USD
Gala Dinner USD - -
Total amount USD

4. Payment Method (Bank Transfer Only)

Bank Name Shinhan Bank Account Number 140-012-267339
Swift Code SHBKKRSE Account Holder Korean Pain Society
Payment Date Name of Remitter

* All Bank charges for remittance must be paid by the registrant. Please note that the fee must be transferred under the registrant's name and must be stated on the receipt. For processing, please send the receipt to KPS 2018 Annual Meeting Secretariat by fax or e-mail.
* For more Information about cancellation and refund policy, please refer to the website (http://www.painfree.or.kr/abstract/2018_fall/eng/entry/intro.html).