*Deadline : 15th of September,2023

Please note that this form is only for submitting your oral presentation . It is not considered as a formal registration to attend the event ! Thank you

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* 1. Contact information :

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* 2. what is your specialty?

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* 3. Research or presentation title :

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* 4. Author(s) :

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* 5. Please provide a brief about your presentation, research or challenging psoriasis case

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* 6. Kindly upload a copy of your presentation from here

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* 7. kindly upload your CV here : 
PDF , word and photo formats are supported .

PDF, DOC, DOCX, PNG, JPG, JPEG file types only.
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* 8. kindly upload your photo here : 
PDF , PNG and JPG formats are supported .

PDF, PNG, JPG, JPEG file types only.
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* 9. Other notes ( if any ) : 

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Organized by :

<div style="text-align: center;"><span style="color: #339966;">Organized by :</span></div>
<div style="text-align: center;"><a href="http://www.leftsphere.com" rel="nofollow" target="_blank">www.leftsphere.com</a></div>

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