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Passport Name *

Gender *

Date of birth(dd/mm/yy) *
Email *
Cell phone *
SNS Account *

Surgery History *

Include the surgery history, allergy, Be as specific as possible. *
Date for Surgery(dd/mm/yy) *

Promotion Info

GIRIN Plastic Surgery
GIRIN Rhinoplasty Event
₩3,500,000 ₩5,000,000

Final Settlement Info

Price
5,000,000
Discout price
1,500,000
VATPrice
0 USD

The amount due
3,500,000