APF_Registration_2026 – Regional Public Health Laboratory Network

RPHL Network Annual Partnership Forum 2026

Co-hosted with the RPHL Network, Brunei Darussalam through the Department of Laboratory Services, Ministry of Health, the RPHL Network will be organizing the RPHL Network Annual Partnership Forum 2026, on 22nd – 24th September 2026, with side events scheduled on 21 September 2026 at The Rizqun International Hotel, The Mall, Gadong, Brunei Darussalam. With the title 'Advancing Partnerships for Sustainable Laboratory Responses' and the theme of 'From Partnership to Preparedness,'

Section 1: Personal Information

Please provide your personal details. Ensure all fields are filled in accurately. 1. Title * (Select one) 2. Family Name * As it appears on your passport or government/National ID 3. First Name * As it appears on your passport or government/National ID 4. Middle Name (if applicable) As it appears on your passport or ID 5. Preferred name on ID/ Name tag * 6. Nationality * 7. Position * 8. Organization * 9. Which organization or sector do you represent? * (Select one) 10. Gender * (Select one) 11. Phone Number (for the Forum WhatsApp Group) * Please include the country code, example for Thailand, add 66 before the number, as in 66 8 1824 8454 12. Email * 13. Please provide the CC list or any additional recipients to include 14. Food allergies and dietary restrictions * Write NA if not applicable 15. Any Special Requirements or Accessibility Needs * Write NA if not applicable 16. Do you consent to RPHL Network collecting and using your information, including photos or videos taken during the forum, for organizing the meeting, reporting, communications, and other official purposes? * (Select one) 17. Are you participating in the RPHL Network Annual Partnership Forum 2026 as a fully funded participant supported by the RPHL Network or partners? * (Select one)

Section 3: Optional Activities

As part of the program, you may sign up for one of the following activities, taking place on . Seats are limited and allocated on a first-come, first-served basis. Details of activities will be confirmed after registration. 22. Which activity would you like to attend? (Select one) 23. Will you attend the Welcome Dinner on 22 September 2026? * (Select one)

Remark: Registration for the technical workshops will be sent upon receipt of your registration.

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For additional information or inquiries, please contact rphlnetwork@gmail.com