Registration Information

❖ Personal Details

Name in English

Title * :

First name * :

Middle name:

Last name * :

Department:

Institution:

❖ Contact Details

Address:

City/District:

State/Province:

Postal code:

Country * :

Telephone No.:

Fax No.:

Mobile phone no.:

E-mail * :

❖ Food details

Food details:

❖ Registration Type

Type	Fee Onsite rate (USD)
Main Congress
All Delegates	600.00
Fellow Vascular, Nurse*	300.00

Total 0.00 USD

Remark: * Verification documents from the organization [ENGLISH LANGUARE] are needed to obtain the 50% discount rate for International Vascular Fellowships in Training. The approval of accepted Vascular Fellowships in Training for discounts will be sent to the trainee within 1 week after uploading the documents. Please wait for approval from the committee before making payment.

The verification document from the organization or university is required (Student): (*.jpg, *jpeg, *.png , *.pdf)

❖ Receipt Details

same as contact address

Name * :

Address * :

Registration Includes:

Access to all scientific program of main congress and exhibition
Conference kits
Lunch & coffee break

Payment Option:

Online payment with credit card

Cancellation Policy:

Once registered, it CANNOT be canceled.

Please fill the required fields(*).