AMSA CHAPTER NAME

AUSTRALIA LAUREN PIENAAR

HONG KONG KAI FUNG JOSHUA HUNG
SINGAPORE CHOO XIN HUI
MALAYSIA NICOLE ASHLEY MIN-EN, CHIA
NEPAL JYOTHIR VISHNU BHARADWAJA PERUGU
IFMSA PUJA BHANDARI
PHILLIPINES DENNY JOY HORNEJA
TAIWAN HUNG JEN LIN
TAIWAN HSIANG-YUN KO
TAIWAN SHENG-MIN LIN
THAILAND SUPHISARA JANTARA-AMORNKUL
THAILAND CHIRAPHAT BOONNAG
UK ARTHUR JUN MING LIM
INDIA SHEENA SONKHIYA
INDONESIA ANALIA LEVINA
INDONESIA DENNY BUDIYONO
INDONESIA SHANNA ALYSIA AZIZ
KOREA SU YEON, KIM
 NICKNAME (FOR GENDER(F/
NAME(IN PASSPORT) RELIGION
NAME TAG) M)

LAUREN PIENAAR LOZZA F N/A

KAI FUNG JOSHUA HUNG JOSHUA M ATHEIST
CHOO XIN HUI PIKACHOO F CHRISTIAN
NICOLE ASHLEY MIN-EN CHIA NICOLE F CATHOLIC
JYOTHIR VISHNU BHARADWAJA PERUGU VISHNU M HINDU
PUJA BHANDARI PUJA F HINDU
Roman
DENNY JOY HORNEJA DENNY F
Catholic
HUNG JEN LIN PETER M NONE
HSIANG-YUN KO Sherry F NONE
SHENG-MIN LIN Mindy F NONE
SUPHISARA JANTARA-AMORNKUL PIZZA F Buddhism
CHIRAPHAT BOONNAG ICE M NONE
ARTHUR JUN MING LIM MING M christian
SHEENA SONKHIYA F HINDU
ANALIA LEVINA LEVINA F Christian
Denny Budiyono Denny M Christian
SHANNA ALYSIA AZIZ NANA F ISLAM
SU YEON KIM CLAIRE F NONE
 CONTACT NUMBER (WITH PASSPORT
EMAIL ADDRESS
COUNTRY CODE) NUMBER

61490159079 LAUREN.PIENAAR@UQ.NET.AU PA5472869

85295490510 joshua.hung@amsahk.org K04928960
6591393797 xinhui101@gmail.com E5122960D
+60-182106640 NICOLECHIA@HOTMAIL.COM E3874034J
9779817221541 peruguv@gmail.com L3179117
9779849026670 urwish1992@gmail.com
639274331439 dennyjoyhorneja@yahoo.com P1529432A
886988227091 B04401018@ntu.edu.tw 313269814
88638871601 sherry61324@gmail.com 314010633
886937761001 m110410020@gmail.com 303059360
66(0)896323232 suphisara_jantara@cmu.ac.th AA2993144
chiraphat.ice@gmail.com,
66992692962 AA7565729
chiraphat_b@cmu.ac.th
4407874646713 arthurljm@outlook.com A32006732
91 9784884156 sheenasonkhia96@gmail.com M8366113
6287852492386 analialevina@yahoo.com A4817223
6281519870760 Denny.budiyono@yahoo.co.id AT445897
628117459703 SHANNAALYSIAAZIZ@GMAIL.COM A9490840
82 10 7423 2425 K_ETOLIE@NAVER.COM M60415061
 TEAM POSITION (AMSA
INTERNATIONAL EXECUTIVE
COMMITTEE/REGIONAL
PASSPORT T-SHIRT SIZE
COUNTRY OF CHAIRPERSON OR RC
EXPIRY DATE (S/M/L/XL/2XL/3X
ISSUE PROXY/CHIEF
(DD/MM/YY) L)
DELEGATE/COMPETITION
PRESENTER/GENERAL
DELEGATE)
AUSTRALIA 5/5/2026 S GENERAL DELEGATE
HONG KONG 07/08/25 L COMPETITION PRESENTER
SINGAPORE 03/01/21 L GENERAL DELEGATE
SINGAPORE 15/01/19 M COMPETITION PRESENTER
INDIA 10/07/23 2XL GENERAL DELEGATE
NEPAL S
Philippines 01/07/22 M General Delegate
Taiwan 05/18/21 L General Delegate
Taiwan 11/04/26 M General Delegate
TAIWAN 25/05/21 M General Delegate
THAILAND 26/11/19 M Competition Presenter
THAILAND 01/05/22 S Competition Presenter
MALAYSIA 04/08/19 L GENERAL DELEGATE
India 15/04/25 M
Indonesia 2/15/2018 S CHIEF DELEGATE
Indonesia 8/3/2021 M GENERAL DELEGATE
Indonesia 3/16/2020 M GENERAL DELEGATE
KOREA 31/03/24 M GENERAL DELEGATE
 DIETARY POST
RESTRICTION(VEGETARIAN/H CONFEREN PRE-
FOOD SIM CARD
ALAL/NO CE TOUR CONFERENCEACCO
ALLERGY (Y/N)
BEEF/NONE/OTHERS: PLS (Option MODATION (Y/N)
SPECIFY) 1/2/3/4/N)

VEGETARIAN N/A NO N
NONE N/A NO N
NONE N/A YES N
NONE N/A NO N
NO BEEF, NO PORK N/A YES N
NO BEEF, ONLY CHICKEN
N/A YES N
MUTTON AND FISH
None N/A NO NO NO
None N/A NO NO
None N/A NO NO
None Shrimp NO NO
None N/A NO NO
None N/A NO NO
none ZYRTEC-D YES YES
vegetarian none YES NO
None N/A NO NO
None NO NO
HALAL (3) N/A YES NO
None NONE NO NO
AMSA CHAPTER NAME (AS IN PASSPORT)
AIRPORT(ICN/GMP)

AUSTRALIA LAUREN PIENAAR

HONG KONG KAI FUNG JOSHUA HUNG
SINGAPORE XIN HUI CHOO
MALAYSIA NICOLE ASHLEY MIN-EN, CHIA
NEPAL JYOTHIR VISHNU BHARADWAJA PERUGU
IFMSA PUJA BHANDARI
PHILLIPINES DENNY JOY HORNEJA ICN
TAIWAN HUNG JEN LIN ICN
TAIWAN HSIANG-YUN KO
TAIWAN SHENG-MIN LIN
THAILAND SUPHISARA JANTARA-AMORNKUL
THAILAND CHIRAPHAT BOONNAG
UK ARTHUR JUN MING LIM
INDIA SHEENA SONKHIYA
INDONESIA ANALIA LEVINA
INDONESIA DENNY BUDIYONO
INDONESIA SHANNA ALYSIA AZIZ ICN
KOREA SU YEON, KIM
 FLIGHT INFORMATION

ARRIVAL TIME
ARRIVAL DATE
ARRIVAL FLIGHT NO (BASED ON GMT DEPARTURE FLIGHT NO
(DD/MM/YY)
+09:00)

Z2884 7/19/2017 12:10

TG634 22/07/17 16:15 TG635

OZ-762 7/23/2017 8:55 OZ-761

RMATION

DEPARTURE TIME TRAVEL

DEPARTURE DATE
(BASED ON GMT INSURANCE
(DD/MM/YY)
+09:00) (Y/N)

03/08/17 17:30

8/3/2017 17:15
 MAJOR MEDICAL
AMSA CHAPTER NAME (AS IN PASSPORT)
ISSUES(PLS SPECIFY)
AUSTRALIA LAUREN PIENAAR
HONG KONG KAI FUNG JOSHUA HUNG
SINGAPORE XIN HUI CHOO
MALAYSIA NICOLE ASHLEY MIN-EN, CHIA
NEPAL JYOTHIR VISHNU BHARADWAJA PERU N/A
IFMSA PUJA BHANDARI
PHILLIPINES DENNY JOY HORNEJA N/A
TAIWAN HUNG JEN LIN N/A
TAIWAN HSIANG-YUN KO
TAIWAN SHENG-MIN LIN
THAILAND SUPHISARA JANTARA-AMORNKUL
THAILAND CHIRAPHAT BOONNAG
UK ARTHUR JUN MING LIM
INDIA SHEENA SONKHIYA
INDONESIA ANALIA LEVINA
INDONESIA DENNY BUDIYONO N/A
INDONESIA SHANNA ALYSIA AZIZ N/A
KOREA SU YEON, KIM
 BLOOD GROUP/ RHESUS
REGULAR MEDICATIONS Drug ALLERGIES
STATUS

N/A N/A B-ve

N/A N/A O/+

N/A N/A O/ N/A

N/A N/A A/+

N/A N/A O/ N/A