APAC Mission Compression
Title —Please choose an option—MrMrsMsDr
First Name
Last Name
Contact Number
Email
Organisation
Job Position—Please choose an option—DoctorWound Care Nurse ConsultantRegistered NursePodiatristOthers
Please Specify
Country —Please choose an option—AustraliaSingapore
State —Please choose an option—ACT - Wednesday 10 SeptemberSA - Tuesday 16 SeptemberTAS - Friday 10 October
Please Specify —Please choose an option—Oasia Hotel Novena - 20 September
Medical Certifications
Do you have Dietary Requirements? —Please choose an option—YesNo
Which compression systems do you mostly use in your practice? —Please choose an option—4 Layer compression bandage2 Layer compression bandageShort Stretch BandageHoiseryCompression WrapOthers
Have you attended any wound care courses or obtained any certifications in wound care? —Please choose an option—YesNo
I certify that I have read and fully accept these CONDITIONS OF PARTICIPATION. By ticking this box and clicking the ‘Submit’ tab, I give my consent to all the CONDITIONS OF PARTICIPATION and agree to comply with them.
I hereby authorise the URGO Foundation to collect and process my personal data in connection with the Mission Compression: Leg Ulcers & Compression Days., in accordance with the Personal Data Management Policy / Privacy Policy.
I hereby authorise the URGO Foundation to use any photo, video, or other visual content of me, or in which I may appear, taken during the Event for educational, promotional, and external/internal communication purposes—including, but not limited to, social media, websites, printed materials, and event coverage. By ticking the box, I confirm that I understand my image may be used without further notice and that no financial compensation will be provided. This authorization is granted for a period of five (5) years from the date of the Event. I acknowledge and accept that content published while this authorization was in effect may remain visible in the media where it was published—whether in print or digital form—even after the authorization has expired.