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Online Application for APOST 4th Head & Neck Cadaveric Dissection Training Course 2026

📅 Course Dates: 26–27 September 2026 (Saturday – Sunday)

📍 Venue: King Chulalongkorn Memorial Hospital, Bangkok, Thailand

⚠️ Important Registration Note: Dissector slots are strictly capped at 18 seats and restricted to Asia-Pacific clinicians. Once registered, a secure Stripe payment link will be emailed to finalize your seat within 3 business days.

Course Page: https://www.apost-ent.org/?route=course&id=87

Personal Information

Last Name (Family Name)

First Name

Year of Birth

Phone Number (with country code)

Email

Professional Background

In which country/region is your clinical practice or residency currently based?

City

Hospital/Institution Name

Current Position

Specialty

Years of Experience

Select Registration Category

Early Bird Dissector Seat: USD 1,000 (Extended!) | Standard: USD 1,150

Observer Seat (USD 160)

Declaration

I understand that my seat is only guaranteed once payment via the secure Stripe link is successfully completed.