Personal Information
 All fields marked with an asterisk(*) should be completed. 
* Country(국가)
* Korea는 편의를 위해 최 상단에 위치합니다.
* User ID(Email)(이메일주소)

※ Please make sure you accurately enter your e-mail address since you cannot modify it later. All future correspondence will be sent to this e-mail address.

* Password(비밀번호)
* Confirm Password
(비밀번호 확인)
* Job Categories (직업 분류)
  • Instructor
    (지도사)
  • Therapist
    (치료사)
  • Doctor
    (의사)
  • Veterinarian
    (수의사)
  • Social Worker
    (사회복지사)
  • Volunteer
    (자원봉사자)
  • Student
    (학생)
  • Others

* Title (칭호)
* Name (영문명)
First Name (이름) : Last Name (성) :

Note

1. Your name will appear on your name badge exactly as it is entered in these fields. If you wish your name to appear in a specific way, please contact the Secretariat at seoul@heti2021.org.

2. The first letter of your first name and all letters of your last name will be automatically capitalized.

* 성명(국문)
* 소속(국문)
*주소
우편번호검색
* 대한재활승마협회
추천 단체 / 추천인
* Affiliation (소속-영문)
* Department (부서-영문)
Address(Work) (주소)
* Phone(Work) (전화번호)
Country Code -
* Cell Phone (휴대전화번호)
Country Code - 예) 010-0000-0000
Fax
Country Code -
Special Request for Food
(식사에 특별한 요구 사항)