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(*  표시는 필수 입력사항입니다.) * 구 분 Warning: Variable passed to each() is not an array or object in /home/virtual/diabetes/htdocs/new_workshop/regist/registration.php on line 157 Warning: Variable passed to each() is not an array or object in /home/virtual/diabetes/htdocs/new_workshop/regist/registration.php on line 168 Warning: Variable passed to each() is not an array or object in /home/virtual/diabetes/htdocs/new_workshop/regist/registration.php on line 173 관련분야 연구자 외 : * 성 명 * 주민등록번호 - * 영문이름 First name : (예:Kildong)   Family name : (예: Hong) * 근무처명 * 면허번호 면허번호   * 이메일 * 휴대전화 010011016017018019 - - * 등록비 * 입금방법 카드결제 은행입금 카드결제시에 [현대카드]는 결제가 안되오니 이점 양해바랍니다.    * 송금인    * 송금일  월 일   사전등록 기간 (월 일)내로 지정해야하며, 송금 완료시 등록으로 인정됩니다. 전화번호 - - 팩 스 - - 주 소 -    (우편번호 검색으로 주소 입력하시기 바랍니다.) 직 위 전문과목 전문의번호 분과전문의 번호 분과전문의 평점을 원하시는 경우 반드시 분과전문의 번호를 입력하셔야 합니다 Warning: Variable passed to each() is not an array or object in /home/virtual/diabetes/htdocs/new_workshop/regist/registration.php on line 330 ※ 휴대전화번호를 입력하시면 등록진행사항을 SMS로 받아보실 수 있습니다. ※ 사전등록 접수후에는 반드시 사전등록 현황에서 접수현황을 확인하세요.

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