AHR First International Conference – Speaker Registration
Register as a speaker for the international medical conference. Please complete your details, presentation preferences, logistics, and experience information.
Basic Information
First Name
*
Last Name
*
Email Address
*
example@example.com
WhatsApp Number (with country code)
*
e.g.,+962123456789
Format: (000) 000-0000.
Current Title / Position
*
e.g., Pediatric Neurologist, Dentist, Pharmacist, Resident, Student
Institution / Organization
*
Country of Residence
*
Languages Spoken
*
Speaker Category
Primary Field
*
Please Select
Medical
Dental
Surgical
Pharmacy
Research
Other
If “Other,” please specify
Subspecialty
e.g., Neurology, Pediatrics, General Surgery, Public Health, etc.
Presentation Details
Proposed Presentation Title
*
Presentation Type
*
Please Select
Lecture
Workshop
Panel Discussion
Case-based Session
Research Presentation
Other
If “Other,” please specify
Target Audience
*
Students
Residents
Physicians
Nurses
Pharmacists
Dentists
General Healthcare Audience
Other
Preferred Duration
*
Please Select
30 minutes
60 minutes
90 minutes
120 minutes
Flexible
Logistics
Attendance Type
*
In person
Virtual
Either
Equipment Requirements
*
Will you require any specific materials? (please specify)
Experience
Have you presented before?
*
Yes
No
Additional Comments
Bio
CV Upload
Upload a File
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of
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