MY-TPI-001_registration

Please provide your details to register for this workshop. This workshop is for Takeda staff only.
Mandatory field (*)

Country *

Country - Other *

Department *

Title *

Full Name (to reflect on the name badge) *

Email Address *

Contact Number *

Buffet dinner is scheduled at 19:00 @ Tosca, Level 10. Kindly indicate your RSVP for the dinner. *

Dietary Restrictions / Allergies (if any) *

Dietary Restrictions / Allergies - Other *