Participants

Overseas Participants Domestic(Korean) Participants

Category *

AOSRA-PM Member Physician Trainee Reduced fee (AOSRA-PM Member) Reduced fee (Physician) Reduced fee (Trainee) 전문의 전공의

Certificate

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* To be eligible for the AOSRA-PM member registration rate, please upload your membership certificate.

Workshop *

• Workshop A (Essential Nerve Blocks)

  Aug. 29 09:00 ~ 12:00

  (16 / 16)

• Workshop B (Advanced Nerve Blocks)

  Aug. 29 09:00 ~ 12:00

  (6 / 16)

• Workshop C (POCUS)

  Aug. 29 09:00 ~ 12:00

  (4 / 16)

• Workshop D (Advanced Nerve Blocks)

  Aug. 29 13:00 ~ 16:00

  (8 / 16)

• Workshop E (Advanced Nerve Blocks)

  Aug. 29 13:00 ~ 16:00

  (3 / 16)

• Workshop F (POCUS)

  Aug. 29 13:00 ~ 16:00

  (0 / 16)

• Workshop G (Essential Nerve Blocks)

  Aug. 30 09:00 ~ 12:00

  (16 / 16)

• Workshop H (Advanced Nerve Blocks)

  Aug. 30 09:00 ~ 12:00

  (6 / 16)

• Workshop I (Advanced Nerve Blocks)

  Aug. 30 09:00 ~ 12:00

  (16 / 16)

Country *

Select AsiaEuropeNorth AmericaSouth AmericaAfricaOceaniaAntarctica Select Afghanistan, Islamic Republic ofÅland IslandsAlbania, Republic ofAlgeria, People's Democratic Republic ofAmerican SamoaAndorra, Principality ofAngola, Republic ofAnguillaAntarctica (the territory South of 60 deg S)Antigua and BarbudaArgentina, Argentine RepublicArmenia, Republic ofArubaAustralia, Commonwealth ofAustria, Republic ofAzerbaijan, Republic ofBahamas, Commonwealth of theBahrain, Kingdom ofBangladesh, People's Republic ofBarbadosBelarus, Republic ofBelgium, Kingdom ofBelizeBenin, Republic ofBermudaBhutan, Kingdom ofBolivia, Republic ofBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswana, Republic ofBouvet Island (Bouvetoya)Brazil, Federative Republic ofBritish Indian Ocean Territory (Chagos Archipelago)British Virgin IslandsBrunei DarussalamBulgaria, Republic ofBurkina FasoBurundi, Republic ofCambodia, Kingdom ofCameroon, Republic ofCanadaCape Verde, Republic ofCayman IslandsCentral African RepublicChad, Republic ofChile, Republic ofChina, People's Republic ofChristmas IslandCocos (Keeling) IslandsColombia, Republic ofComoros, Union of theCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta Rica, Republic ofCote d'Ivoire, Republic ofCroatia, Republic ofCuba, Republic ofCuraçaoCyprus, Republic ofCzech RepublicDenmark, Kingdom ofDisputed TerritoryDjibouti, Republic ofDominica, Commonwealth ofDominican RepublicEcuador, Republic ofEgypt, Arab Republic ofEl Salvador, Republic ofEquatorial Guinea, Republic ofEritrea, State ofEstonia, Republic ofEthiopia, Federal Democratic Republic ofFalkland Islands (Malvinas)Faroe IslandsFiji, Republic of the Fiji IslandsFinland, Republic ofFrance, French RepublicFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabon, Gabonese RepublicGambia, Republic of theGeorgiaGermany, Federal Republic ofGhana, Republic ofGibraltarGreece, Hellenic RepublicGreenlandGrenadaGuadeloupeGuamGuatemala, Republic ofGuernsey, Bailiwick ofGuinea, Republic ofGuinea-Bissau, Republic ofGuyana, Co-operative Republic ofHaiti, Republic ofHeard Island and McDonald IslandsHoly See (Vatican City State)Honduras, Republic ofHong Kong, Special Administrative Region of ChinaHungary, Republic ofIceland, Republic ofIndia, Republic ofIndonesia, Republic ofIran, Islamic Republic ofIraq, Republic ofIraq-Saudi Arabia Neutral ZoneIrelandIsle of ManIsrael, State ofItaly, Italian RepublicJamaicaJapanJersey, Bailiwick ofJordan, Hashemite Kingdom ofKazakhstan, Republic ofKenya, Republic ofKiribati, Republic ofKuwait, State ofKyrgyz RepublicLao People's Democratic RepublicLatvia, Republic ofLebanon, Lebanese RepublicLesotho, Kingdom ofLiberia, Republic ofLibyan Arab JamahiriyaLiechtenstein, Principality ofLithuania, Republic ofLuxembourg, Grand Duchy ofMacao, Special Administrative Region of ChinaMacedonia, The Former Yugoslav Republic ofMadagascar, Republic ofMalawi, Republic ofMalaysiaMaldives, Republic ofMali, Republic ofMalta, Republic ofMarshall Islands, Republic of theMartiniqueMauritania, Islamic Republic ofMauritius, Republic ofMayotteMexico, United Mexican StatesMicronesia, Federated States ofMoldova, Republic ofMonaco, Principality ofMongoliaMontenegro, Republic ofMontserratMorocco, Kingdom ofMozambique, Republic ofMyanmar, Union ofNamibia, Republic ofNauru, Republic ofNepal, State ofNetherlands AntillesNetherlands, Kingdom of theNew CaledoniaNew ZealandNicaragua, Republic ofNiger, Republic ofNigeria, Federal Republic ofNiueNorfolk IslandNorthern Mariana Islands, Commonwealth of theNorway, Kingdom ofOman, Sultanate ofPakistan, Islamic Republic ofPalau, Republic ofPalestinian Territory, OccupiedPanama, Republic ofPapua New Guinea, Independent State ofParaguay, Republic ofPeru, Republic ofPhilippines, Republic of thePitcairn IslandsPoland, Republic ofPortugal, Portuguese RepublicPuerto Rico, Commonwealth ofQatar, State ofReunionRomaniaRussian FederationRwanda, Republic ofSaint BarthelemySaint HelenaSaint Kitts and Nevis, Federation ofSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoa, Independent State ofSan Marino, Republic ofSao Tome and Principe, Democratic Republic ofSaudi Arabia, Kingdom ofSenegal, Republic ofSerbia, Republic ofSeychelles, Republic ofSierra Leone, Republic ofSingapore, Republic ofSint Maarten (Netherlands)Slovakia (Slovak Republic)Slovenia, Republic ofSolomon IslandsSomalia, Somali RepublicSouth Africa, Republic ofSouth Georgia and the South Sandwich IslandsSouth SudanSpain, Kingdom ofSpratly IslandsSri Lanka, Democratic Socialist Republic ofSudan, Republic ofSuriname, Republic ofSvalbard & Jan Mayen IslandsSwaziland, Kingdom ofSweden, Kingdom ofSwitzerland, Swiss ConfederationSyrian Arab RepublicTaiwanTajikistan, Republic ofTanzania, United Republic ofThailand, Kingdom ofTimor-Leste, Democratic Republic ofTogo, Togolese RepublicTokelauTonga, Kingdom ofTrinidad and Tobago, Republic ofTunisia, Tunisian RepublicTurkey, Republic ofTurkmenistanTurks and Caicos IslandsTuvaluUganda, Republic ofUkraineUnited Arab EmiratesUnited Kingdom of Great Britain & Northern IrelandUnited Nations Neutral ZoneUnited States Minor Outlying IslandsUnited States of AmericaUnited States Virgin IslandsUruguay, Eastern Republic ofUzbekistan, Republic ofVanuatu, Republic ofVenezuela, Bolivarian Republic ofVietnam, Socialist Republic ofWallis and FutunaWestern SaharaYemenZambia, Republic ofZimbabwe, Republic of

Gala Dinner (Aug. 29)*

참석 Yes 불참 No

Special Meal

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중복확인

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국문성명 *

국문소속 *

First Name *

ex) Andrew

Last Name *

ex) LEE
Please write your last name in the capital letter.

Affiliation *

Postal Address

Postal / Zip Code

City

Phone(Mobile)

incl. country code (ex : 82-10-1234-5678)

Fax

Email *

Registration fee

 

Remitter’s Name

Remittance Date

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