*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

Question Title

* 1. Contact information :

Question Title

* 2. what is your specialty?

Question Title

* 3. Research or presentation title :

Question Title

* 4. Author(s) :

Question Title

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

Question Title

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

PDF file types only.
Choose File

Question Title

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

PDF, DOC, DOCX, PNG, JPG, JPEG file types only.
Choose File

Question Title

* 8. kindly upload your photo here : 
PDF , PNG and JPG formats are supported .

PDF, PNG, JPG, JPEG file types only.
Choose File

Question Title

* 9. Other notes ( if any ) : 

Question Title

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>

T