hk-amg-211-registration

Country/ Region *

Country/ Region_others

Title *

Title_other *

First name *

Last name *

Hospital / institute *

Email address *

Would you like to apply CME? *

I would like to join the meeting *

online
at hotel venue (Renaissance Hong Kong Harbour View Hotel)

Full Name (please ensure your full/correct name for CME purposes) *

CME Accreditation *

HCP registration number *

Thank you for your interest in participating in this meeting. Before completing the registration, please answer the following questions for us as a background research.

1. When would you screen for KRAS G12C mutation for NSCLC patients? *

At diagnosis (with other mutations)
At diagnosis (after screening EGFR, ALK, ROS1, PD-L1)
At first relapse
At second relapse
I don’t screen for KRAS G12C

2. What is the prevalence of KRAS G12C mutation in NSCLC in your practice? *

3. What are the top 2 treatment-related AEs you would be most concerned about when making treatment choice? (please select 2 options) *

4. How likely will you prescribe sotorasib for KRAS G12C-mutated advanced NSCLC patients in 2L treatment? *

Very likely
Likely
Not likely
Very unlikely

I am a Healthcare Professional. *

I am a Healthcare Professional.*

I acknowledge and agree to Amgen using and presenting any sound and/or visual recording made during the Meeting, including sequences of it ("Recorded Material"). As such, I grant Amgen the right to edit all Recorded Material as it deems appropriate. Furthermore, Amgen shall have no obligation to show Recorded Material at any particular time and location. *

I acknowledge and agree to Amgen using and presenting any sound and/or visual recording made during the Meeting, including sequences of it (“Recorded Material”). As such, I grant Amgen the right to edit all Recorded Material as it deems appropriate. Furthermore, Amgen shall have no obligation to show Recorded Material at any particular time and location.*

I agree with all of the below clauses: *

I agree with below term of use.*

•	I agree to comply with the terms of use.
•	I acknowledge and understand that I agree to the Privacy Policy of Amgen (event sponsor) and Privacy Policy of MIMS (event management services provider). I understand I can withdrawal my consent for processing my personal data at any time.
•	I agree to share, exchange or view opinions among the group including my individual profile and the insights collected are strictly of my own.
•	I consent to the processing of my personal data for the purpose of event registration, email confirmation and CME accreditation only.

HK-08518-LUM-2022-JUN Approved: 2022-JUL