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Prefix*
Speaker's / Presenter's First Name*
Last Name*
Degree*
e.g: MD, PhD
Current Position*
Company/Organization*
Sector*
If more than one apply, press Ctrl and select the multiple selection.
Short Biography:*
(Maximum 200 Characters)
(Up to 200 Words)
Please upload your CV*
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Please upload your recent photograph:*
High resolution
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Address Line*
City:*
Country:*
Country of Residence
Nationality*
Country of Origin
E-mail Address*
On successful registration, the system will send a temporary password to your email address which you can later change from your dashboard
Mobile:*
Please add the country code, example: 00971558106434
Phone*
Please add the country code, example: 0097145208888
Email Disclaimer
Each author should use only one email address and accordingly all communications should be through that email address.
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