| *Full name | (First name, <Middle name>, Family name) |
*Country | |
Country (other) | If you chose "Other" in the above, please describe here. |
*Organization | |
*Organization | |
*Organization | |
Organization (other) | If you chose "Other" in the above, please describe here. |
| *Occupation Confirmation | These courses are limited to employees of national or regional reguratory authorities (regulators).
If you are not a regulator, please visit the following site (open for public) ;
https://www.pmda.go.jp/english/int-activities/training-center/0003.html
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Working Relationship with Regulators | If you chose " I do not belong to the national or regional regulatory authority" in the above, but still need to take the course, please describe the working relationship with regulatory authorities in terms of regulating medical products. |
| *e-mail address (work) | e-mail address you use in your workplace
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| e-mail address (sub/additonal) | e-mail address for secondary contact
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| Comments (if any) | |
| *Announcements from PMDA | *PMDA would like to send announcements regarding PMDA international activities (e.g., PMDA-ATC seminars, PMDA Updates) to your email address.
If you do NOT wish to receive these emails, please check the following box.
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