16th Thai SMISST

𝐑𝐞𝐠𝐢𝐬𝐭𝐫𝐚𝐭𝐢𝐨𝐧 𝐅𝐞𝐞

Type	Rate (Gala dinner included)
Thai physician	5,000 THB
Nurse/Resident/Fellow	Free
Cadaveric workshop (including scientific program 7th-8th Nov 2025)	50,000 THB

Registration Form (Thai Register)

Title name *

Title name (Other)

First Name *

Last Name *

คำนำหน้าชื่อ *

คำนำหน้า (อื่นๆ)

ชื่อ *

นามสกุล *

Medical licence no. *

Institution/Hospital

Gender *

Male Female

Address *

Mobile no. *

Email *

Registration type *

Please pay the registration fee and attach proof of payment according to the amount below.

Payment Medthod

Please transfer the registration fee to

Bank : KRUNG THAI BANK PUBLIC COMPANY LIMITED
SWIFT Code : KRTHTHBK
CHIPS UID : 007895
Address : BANGKOK, THAILAND
Branch : THA BO

Account No : 441-0-49546-1
Account Name : Orthopedic department of Thabo Crown Prince Hospital

Please attach proof of payment.

I don't want a receipt. I want a receipt to be issued to this address.

Issue a receipt in your name

Tax ID

Receipt issuing address