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!

Please note that after filling the registration form, the online payment should be completed shortly afterward.

If you are unable to do so, please complete the payment process later by using the link, which is sent to your registered email.

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