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Visitors Request Form STIKES ICSADA
Visitors Request Form STIKES ICSADA
Visitors Request Form STIKES ICSADA
Please complete this Form at least one month prior to the date of your proposed visit.
Please submit completed form to psu-international@psu.ac.th / Fax: 66 74 446825
Your request will be attended to upon receipt of this completed form.
Organisation’s www.stikesicsada.ac.id
Website
Email Stikesicsada1@gmail.com
Telephone/ +62353893337
Mobile Telephone
Facsimile +62353893337
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Person(s) / Faculties / Departments You Would Like To Meet:
1. Education
2. Hospital
3. Extracurricular
4. Thai traditional medicine
* for more delegates, kindly add rows or attach the full list in Word format
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