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* Name  
* Gender
*Affiliation/Department: /
* Job Title  
* Contact Number.    Mobile
Please provide at least one of the following: home telephone, office extension, or mobile phone    
* Meal Option
Authentication code Please enter the exact characters shown in picture below

I have read and agree that the registration system may collect relevant personal information:
  1. In accordance with Article 6 of the Personal Information Protection Act, the registration system provides a Privacy Statement prior to collection of personal information.
  2. Refusal of the Privacy Statement will result in unsuccessful registrations.