Registration Information

❖ Personal Details

Name in English

Title * :

First name * :

Middle name:

Last name * :

Department * :

Affiliation * :

❖ Contact Details

Address * :

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
Participant	290.00
Student*	140.00
Member**	275.00
Dinner
Welcome Dinner (11 November 2024)	45.00
Integrated Site Visit
Integrated Site Visit (13 November 2024) - Elderly Care Unit	45.00
Integrated Site Visit (13 November 2024) - School Visits	45.00

Total 0.00 USD

Remark: * The verification document from the organization or university is required

** Members need to attach a PDF file as proof of membership. Without attaching this file, the member rate will not be given.

Coupon code:

(if any)

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

❚ Remark:

Registration fee included VAT.
Date on receipt is the date of payment, please collect receipt at registration counter.
MasterCard, and Visa credit cards are accepted for payment registration fee.
Registration for student, please upload your student card.

❚ Payment method: Bank transfer

Bank name: Bangkok Bank
Branch: Ratchathewi
Account name: Nutrition Association of Thailand
Account No.: 123-4-62710-5
Type: Saving

❚ Registration Cancellation Policy:

All cancellations must be electronically mailed:

Cancellations received until and including 31 October 2024 – 70% will be refunded.
From 1 November 2024 – no refund will be made.
The transfer fee will be deducted from the full refund amount.

❖ Receipt Details

same as contact address

Name * :

Address * :

Please fill the required fields(*).