REGISTRATION

Registration Fee for the 1^st APPSPGHAN Masterclass (in Collaboration with TSPGH) in Pediatric Disorders of Neurogastroenterology, Motility and Gut-Brain Interaction (DNMG)

* Please submit a letter of recommendation from you supervisor.
** Please submit a copy of your passport. Or ID
***Please submit document of your current status.

*Please note
To register for an onsite masterclass
● The 1^st APPSPGHAN Masterclass (in Collaboration with TSPGH) in Pediatric Disorders of Neurogastroenterology, Motility and Gut-Brain Interaction (DNMG) is a part of the Federation of Neurogastroenterology and Motility (FNM) 2024 Congress.
● The onsite registrants need to register for the FNM 2024 to access a full FNM program and the masterclass for DNMG without an extra payment. Registration for the onsite masterclass without FNM 2024 is not available.
● A payment via the FNM 2024 online service system is recommended. Confirmation letters and payment invoice will be according to the FNM 2024.
● A cancellation policy for the onsite attendance follows the FNM 2024 regulation.

To register for a virtual masterclass
The registration fee will allow the following:
● Admission to a virtual session of the masterclass on November 6^th, 2024
● Access to replays of the session.
● Certificate of online attendance

A credit card payment via the masterclass website is recommended. Confirmation letters and payment invoice will only be sent upon receipt of the appropriate fee.
A refund is NOT available for the virtual masterclass

REGISTRATION FORM

The 1^st APPSPGHAN Masterclass (in Collaboration with TSPGH) in Pediatric Disorders of Neurogastroenterology, Motility and Gut-Brain Interaction (DNMG)

Title * - Please select option - - Dr. -- Mr. -- Mrs. -- Ms. - - Others (please identify) -

First name *

Middle Name

Last name *

Medical License No. (only for Thai physicians)

Role * - Please select option - - Physician -- Pediatrician -- Medicine -- Fellow -- Nurse - - Other (please identify) -

Specialty (for physicians) - Please select option - - Gastroenterologist -- Hepatologist -- Pediatric Surgery - - Other (please identify) -

Institution/Hospital *

Address *

City/District *

State/Province

Post Code*

Country*

Tel (country code- telephone number)

Mobile

Email *

Type

Trainees *
Junior Doctors (age<35 years) **
Allied Health Professional ***

** (Accept jpg, pdf, and word format, limit size of document not over 15 MB)

Please note:
*Please submit a letter of recommendation from your supervisor
** Please submit a copy of your passport. Or ID
***Please submit a document of your current status

APPSPGHAN Member

Yes No

Membership ID

Registration fee

Register Now!

Privacy Policy (for conference attendees)

Close