Register for the 22nd World Congress of Chinese Medicine

11.

Organization Name （单位名称）

(Note: Please enter your current employer, not a branch or member organization of the World Federation. 注意：此处填写现工作单位，而不是您所在世界中联的分支机构或会员单位)

Registration Fee (报名费用)

注：注册费含会议材料、欢迎晚宴、会议用餐（10.31晚宴，10.31，11.1日日午餐）；其他餐费、住宿费及往返交通费用请自理。以上费用均包含10%GST

Note: The registration fee includes conference materials, welcome dinner on October 31, and lunch on October 31 and November 1. Other meals, accommodation, and transportation costs are not included and should be covered by participants. All fees are included 10% GST.

Bank Transfer Details（银行转账信息）:

Account Name（账户名称）: AUSTRALIA TRADITION CHINESE MEDICINE CHARITABLE ASSOCIATION INC

BSB（银行代码）: 012-071

Account Number（账户号码）: 6540-57508

SWIFT Code（SWIFT 代码）: ANZBAU3M

Please transfer the registration fee to the account above and upload your proof of payment (maximum file size: 20MB) in Question 15 of the form.

请将报名费汇入上述账户，并在问卷第15题上传转账凭证（文件大小最多不超过20MB）

16.

注：提交本表格后将无法返回查看已填写的问卷内容。请务必截图或保存填写完成的信息，以及最后成功提交问卷的提示页面，作为报名成功的依据。

Note: Once this form is submitted, you will not be able to review your responses. Please make sure to take a screenshot or save the completed information and the final submission confirmation message, as they will serve as proof of successful registration.

本人已阅读上述提示，确认提交后无法再次查看填写内容，并将自行截图保存提交成功的信息作为报名凭证。

I acknowledge that I have read the notice and will take responsibility for saving a screenshot of the successful submission confirmation for future reference.

为方便为您开具发票，请您协助提供以下信息

In order to issue a tax invoice， could you kindly provide the following details

17.

收票单位全称（如为公司）或姓名（如为个人）：

Full name of the invoice recipient (Company name or Individual)：