Donation

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Donation

* Mandatory fields
 

General Account Information

*First name
영문 이름
*Last name
영문 이름 (성)
한글 이름
*e-Mail
*Phone
*근무처
Affiliation
직위
Professional Title
*Home Address
*Last Degree
(e.g. Bachelor, Master, Ph.D, Pharm,D, MBA, etc)
*School where you got your degree from
*Graduation Year
*Major
 

Major Field/Expertise

Other Job Function
*Detailed Expertise
(e.g. vaccine development, high-throughput screening, etc).
Academic Degree
Academic degree (e.g. Ph.D., M.D., M.S., etc)
Related Disease Area
Please select all that apply or describe in the below.
Other Disease Area
 I agree to transfer my membership to KSEA for complimentary KSEA Membership with KASBP as 1st APS.
 I already have KSEA membership with KASBP as 1st APS.
*Amount ($USD)
 Payment frequency
Address
City
State / province
Postal code
Country
Comment
 
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