PHS 2024 Speakers Data Form

PHS 2024 Speakers Data Form
Please choose your category*
Full Name*
Email*
example@example.com
Mobile Number (including international code)*
Country*
City*
National ID*

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Place Of Work*
Affiliation (text to be written under your name in announcement)*
Please type a short biography about yourself that can be used to introduce you by the panel*
Title Of The Talk*
Abstract*
Portrait Personal Photo (high resolution file types: jpg, jpeg, png, gif)*

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First 2 pages of your Passport Copy (2 facing Pages) .JPG, JPEG*

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Should be Empty: