KTSA

User provisional registration

This is the registeration for who want to regist on the list of overseas Hospital.
Please fill out all items.

Gender
Blood Type(Blood group ）
Date of Birth
Nationality
Living Address
Are you under Dialysis?
E-mail Address

Confirm of Temporary User Registration

Please fill out all items. It is required to type correct information by single-byte characters in this field。
Please set it so that you can receive mails from "@npo-ktsa.org" in the domain email reception options beforehand.

Gender
Blood Type(Blood group ）
Date of Birth
Nationality
Living Address
Are you under Dialysis?
E-mail Address