Expert Data Form

Expert Data Form

Welcome our Guest Expert
Note: Kindly ensure submitting all required documents in order to the system accepting submitted data.
Disclaimer: Documents and information listed herein requested to obtain necessary event accreditation and permits. EliteWay and its affiliates may use your personal information, including your name, title, organization, biography, and photograph, for promotional and informational purposes related to the conference. This includes but is not limited to printed materials, digital media, conference websites, social media platforms, and press releases if any. Your personal information will be used solely for conference-related purposes and will not be shared with third parties for unrelated purposes without your consent.
Faculty Type
Name

First NameMiddle NameLast Name
Designation (Title will be displayed on event agenda)
Mobile No.
Email
example@example.com
Specialty
SCFHS No. or Medical License Number for International Speakers
Institution
Identification No. (Saudi ID/Iqama), text 00 for International Experts
Passport no. for International Experts
Date of Birth

MonthDayYear
Date
Nationality
Country of Residence
City
Short Bio
File Upload (Upload CV)

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SCFHS Copy or Medical License Copy Upload

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Photo Upload

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I verify and acknowledge that my presentation / my participation, and all the utilized materials is free from commercial interests that relate in any way to this CME/CPD activity, and I will provide a balanced view of the therapeutic options when discussing off-label, unlabeled, or investigational uses of a commercial product, these uses will be identified as such: I will use generic names of medications/products whenever possible. When I use trade names, I will include those of other companies that are on the market without any related conflict of interest.
Signature
Should be Empty: