Reservation Form KU CARE CLass-2 Participant InformationTitle* Mr.Mrs.Ms.OthersPlease specify* Full Name* Nickname Phone No* E-Mail* Company/Organization Name* Position* Are You Applying Yourself?* Yes, I amNo, I am not Date of Birth* Do you have any referral person or any personintroduce this program to you?* No.YesPlease specify* Contact PersonTitle* Mr.Mrs.Ms.OthersPlease specify* Full Name* Phone No* E-Mail* Company/Organization Name* Would you like to attend KU Care: International BCG in action Trip (12th-15th April, 2024)*(See program, click here)YesNoNot sureOther Preferences Size: KU CARE Eco-Friendly T-Shirt*S (Chest 36" / Length 26")M (Chest 38" / Length 27")L (Chest 40" / Length 28")XL (Chest 42" / Length 29")2XL (Chest 44" / Length 30")3XL (Chest 46" / Length 31")4XL (Chest 48" / Length 32")5XL (Chest 50" / Length 33")Size: KU CARE Eco-Friendly Jacket*S (Chest 36" / Length 26")M (Chest 38" / Length 27")L (Chest 40" / Length 28")XL (Chest 42" / Length 29")2XL (Chest 44" / Length 30")3XL (Chest 46" / Length 31")4XL (Chest 48" / Length 32")5XL (Chest 50" / Length 33")Special Dietary* NoneHalalVegetarianOthersPlease specify* Picture upload Other QuestionsHow do you know us? TV RadioWebsiteFacebookFlyersInvitation LetterFriends or FamilyOthersYour Interests Training SeminarsSporting EventsFood Drinks WineSocial EventsTravelingOthers Please Specify I consent to the processing of my personal data, and agree that KU CARE may collect, store, process, and use the personal data I have provided, including my image file, video recording. My data will only be processed and used for any purposes necessary for the program activities and for public relations. I understand that I can withdraw my consent to the processing of my data at any time. View Registration Fee PROGRAM FEE (EARLY OF EARLY BIRD): 139,000 THB/Person THINGS INCLUDED IN THE FEE:Speakers, training materials, equipment, meeting rooms, lunch snacks and drinksExpenses for conducting tour within the country – buses, accommodations (single & double beds) and foodIce Breaking & Welcome Party, Farewell PartyInternational tour is EXCLUDED Apply Now
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