JKJM2026

Applicant Information

Please enter your information below, then click the button to proceed to the confirmation page.
Required fields are marked width [Required].

Registration Information

Name［Required］
Given Name :
Family Name :

If you have a Middle Name, please include it in the Given Name field.

Title［Required］

If you select "Other," please provide the details.

Affiliation［Required］
Address Type［Required］
Country/Region［Required］
ZIP/Postal Code［Required］
Address［Required］

Email Address for Registration Confirmation

Participation Details

Registration Fee［Required］
  • : 40,000 yen
  • : 0 yen

*Trainee refers to medical students and interns in Korea, and to medical students and junior residents (Rinsho Kenshui/Shoki Kenshui) in Japan. Delegate refers to all other physicians, including residents in Korea and senior residents (Senkoi/Koki Kenshui) in Japan.

Certificate of Registration
(pdf/jpg/png file upload)［Required］

*Only files with the extensions pdf,jpg,png can be uploaded.

Welcome Reception Attendance on Wednesday, September 30:

*Please indicate your tentative attendance at the Welcome Reception.

Please indicate your attendance at the Gala Dinner on Thursday, October 1:

* The Gala Dinner will be held at the conference venue, Grand Mercure Sapporo Odori Park.

Please indicate any dietary restrictions (select all that apply):［Required］

*While we will do our best to accommodate your dietary needs, please note that we may not be able to meet every request.

Accompanying Person

If you wish to register accompanying persons, please tick the “Accompanying Person” box.

Accompanying Person 1
Registration Fee
［Required］
Name［Required］
Given Name
Family Name
Title［Required］

Please indicate any dietary restrictions (select all that apply):
［Required］

Welcome Reception Attendance

*Please indicate your tentative attendance at the Welcome Reception.

Please indicate your attendance at the Gala Dinner on Thursday, October 1:

* The Gala Dinner will be held at the conference venue, Grand Mercure Sapporo Odori Park.

If you wish to register accompanying persons, please tick the “Accompanying Person” box.

Accompanying Person 2
Registration Fee
［Required］
Name［Required］
Given Name
Family Name
Title［Required］

Please indicate any dietary restrictions (select all that apply):
［Required］

Welcome Reception Attendance

*Please indicate your tentative attendance at the Welcome Reception.

Please indicate your attendance at the Gala Dinner on Thursday, October 1:

* The Gala Dinner will be held at the conference venue, Grand Mercure Sapporo Odori Park.

Payment Details

Payment Amount
yen
Payment Method［Required］
Credit Card

*The merchant for credit card transactions is Convention Linkage, Inc., the Conference Secretariat.

Credit Card

Credit card company［Required］
Credit card no.［Required］
 

※Don’t include hyphens. If using Amex, add ‘0’ before the number to make it 16 digit.
ex. Amex 3123-456789-12345, becomes 0312345678912345.

Name on the credit card［Required］
Expiration date［Required］
(Month)／ (Year)
Security code［Required］

* A 3- or 4-digit number printed on the back or front of your credit card