Date: 25 - The Central Council of Tibetan Medicine
Date: 25 - The Central Council of Tibetan Medicine
Date: 25 - The Central Council of Tibetan Medicine
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For <strong>of</strong>ficial use only<br />
<strong>Date</strong> received:<br />
Registration no:<br />
Receipt no.<br />
FIRST NAME<br />
CONTACT ADDRESS:<br />
E-MAIL:<br />
PHONE/FAX :<br />
BLOG/WEBSITE:<br />
DIETARY REQUIREMENT:<br />
(please tick your choices)<br />
REGISTRATION CATAGORIES:<br />
REGISTRATION FORM<br />
2 nd International Conference on <strong>Tibetan</strong> <strong>Medicine</strong><br />
REGISTERD PRACTIONER (QMP, RMP)<br />
FOREIGNERS<br />
PAYMEND MODE:<br />
NON REGISTERED (India, Nepal & Bhutan)<br />
MIDDLE NAME LAST NAME<br />
STUDENT (Medical Inst. Registered under CCTM)<br />
FTM MEMBERS (Friends <strong>of</strong> <strong>Tibetan</strong> <strong>Medicine</strong>)<br />
Vegetarian Non Vegetarian
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