Abstract Submission Form

Information to be displayed on the Summit's collaterals

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Number of Presenter(Required)

Corresponding Presenter

Title(Required)

Please specify

Name

First Name Middle Name Last Name

Is this a Student's Submission?(Required)

What is your education level?(Required)

Work Title(Required)

Institution(Required)

Country(Required)

Time Zone(Required)

Contact No.(Required)

Email(Required)

Enter Email Confirm Email

Portrait(Required)

Accepted file types: jpg, jpeg, png, bmp, Max. file size: 2 MB.

(Please upload a JPG, JPEG, PNG, or BMP image file with at least 230 (W) x 310 (H) pixels and maximum file size of 2 MB)

Co-presenter 1

Title(Required)

Please specify

Name

First Name Middle Name Last Name

Is this a Student's Submission?(Required)

What is your education level?(Required)

Work Title(Required)

Institution(Required)

Country(Required)

Time Zone(Required)

Contact No.(Required)

Email(Required)

Portrait(Required)

Accepted file types: jpg, jpeg, png, bmp, Max. file size: 2 MB.

(Please upload a JPG, JPEG, PNG, or BMP image file with at least 230 (W) x 310 (H) pixels and maximum file size of 2 MB)

Co-presenter 2

Title(Required)

Please specify

Name

First Name Middle Name Last Name

Is this a Student's Submission?(Required)

What is your education level?(Required)

Work Title(Required)

Institution(Required)

Country(Required)

Time Zone(Required)

Contact No.(Required)

Email(Required)

Portrait(Required)

Accepted file types: jpg, jpeg, png, bmp, Max. file size: 2 MB.

(Please upload a JPG, JPEG, PNG, or BMP image file with at least 230 (W) x 310 (H) pixels and maximum file size of 2 MB)

About the Presentation

Presentation Format(Required)

(Note: Individual or group of up to three presenters. Please assign a moderator if you wish to propose a Panel Session)

Presentation Sub-theme(Required)

Presentation Title(Required)

(Max 20 words)

Upload Abstract Proposal(Required)

(Please download the “Abstract Proposal Template” )

Accepted file types: doc, docx, Max. file size: 2 MB.

(Please upload the “Abstract Proposal Template” in Microsoft Word Document (.doc or .docx) with maximum file size of 2MB)

Others

First time to attend the USR Summit?(Required)

How do you know about this call for abstracts?

USRN website

USRN e-Bulletin

Online Advertisment

Institution Internal Promotion

Others

Please specify

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