Personal Information
 All fields marked with an asterisk(*) should be completed. 
* Country
* Korea는 편의를 위해 최 상단에 위치합니다.
* User ID(Email)

※ Please make sure you accurately enter your e-mail address since you cannot modify it later. All future correspondence will be sent to this e-mail address.

* Password
* Confirm Password
* Job Categories
  • Instructor
  • Therapist
  • Doctor
  • Veterinarian
  • Social Worker
  • Volunteer
  • Student
  • Others
* Title
* Name
First Name : Last Name :

Note

1. Your name will appear on your name badge exactly as it is entered in these fields. If you wish your name to appear in a specific way, please contact the Secretariat at seoul@heti2021.org.

2. The first letter of your first name and all letters of your last name will be automatically capitalized.

* 성명(국문)
* 소속(국문)
*주소
우편번호검색
* 대한재활승마
의사면허번호
* Affiliation (영문)
* Department (영문)
Address(Work)
* Phone(Work)
Country Code -
* Cell Phone
Country Code -
Fax
Country Code -
Special Request
for Food