CREATE ACCOUNT

Registration Form

Thai Participant
2026 THOFAS ANNUAL MEETING
August 27-28, 2026
@ U Nimman, Chiangmai, Thailand

license Number Number Only (if you're RCOST member, Resident, Fellow, please fill in the license number)

Type Registration *

Prefix *

Name (TH) *

Surname (TH) *

Name (ENG) *

Surname (ENG) *

Present Office / Institution *

Mobile *

Email *

Confirm Email *

ปีเกิด(พ.ศ.)

Dietary restrictions *

Dietary restrictions other

Payment

Please pay

Transfer

Account Name: Subspecialty of Foot & Ankle
Account no: 051-278032-4
Bank Name: Siam Commercial Bank Public Company Limited
Bank Branch: Rajvithi Hospital Branch
Bank Address: Rajvithi Hospital, Rajavithi Rd., Rajthevee, Bangkok 10400,Thailand.
Swift code: SICOTHBK

Bank Name *

Payment Date *

Payment Time *

Payment Amount *

Currency *

Proof of Payment (*.jpg, *.jpeg, *.png Only)
if Type Registration is RCOST Senior Member Please Attach ID. Card

Receive a receipt.

Tax ID. *

The name specified on the receipt *

The address specified on the receipt *

If you have any registration questions, please feel free to contact us.
Tel: 064-468-9818 Chutinan (Jane), 099-452-1118 Paphawarin (Dream)
Email: [email protected], [email protected]

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Input Security Code *