NPHRS Tokyo 2025 Nomination

NPHRS Tokyo 2025 Nomination

Please fill out the form below to submit your entry for the Nations Plenary Health & Research Summit Honors Tokyo 2025 (NPHRS Tokyo'25)
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
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Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Name of your Institute*
Preferred Category:*

Health Research HonorsHealth Outreach HonorsHealth Service Honors
Are you currently enrolled in a medical program or residency?*

YesNo
Are you able to allocate INR 80,000 to 1,00,000 for the entire trip to Tokyo?*

YesNo
How confident are you about attending NPHRS Tokyo'25?*

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Additional Comments (Optional)
Updated CV*

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After your application is reviewed by the NPHRS Review Section, you will receive
notification by mail within 20 days of submitting your application.
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