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Registration Category

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Event Category

Submission ID

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Registration type

Title

Name

First Last

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Category*

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Designation

Institution/organization

Country

Email

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Phone

Abstract Title

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Postal Address

Selected For

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Status

Photo*

Max. file size: 1 MB.

Upload your Passport size photo here

Presentation Title*

Presentation Abstract File*

Max. file size: 256 MB.

Sample Abstract Format

Presentation Video*

Max. file size: 256 MB.

Test

Testimonial Video*

Max. file size: 256 MB.

Test

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Video Testimonial-Upload few words about your Neurology Research and Pencis award*

Max. file size: 256 MB.

Pencis International Award Winners share their thoughts on inventions and what the Awards recognition means to them. Upload your video here not more than 3 min

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Paper Presentation Video*

Max. file size: 256 MB.

Upload your Abstract Presentation Video here not more than 15 min

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About your self*

About your Education, Experience and Academic achievements, Contribution towards the Research & Development, Innovations, and Extension Activities (Note: This Statement will be read at conference venue so kindly use subject as "He")

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No of Co -Authors

No Co-Author registration
One Co-Author registration
Two Co-Authors registration
Three Co-Authors registration

Choose the number of co-authors attending the Conference

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Co- Author Details

Name*

University*

Country*

Co- Author 2 Details

Name*

University*

Country*

Co- Author 3 Details

Name*

University*

Country*

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Section Break

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Participation Mode*

Video Presentation
Oral Presentation + $599

Video Presentation - To receive the certificate & memento by Post.
Oral Presentation - To receive the Certificate & Memento on Stage.

Accompanying Persons*

No Additional Persons
One Additional Person + $200
Two Additional Person + $400s

Accommodation*

Accommodation Not Required
Accommodation - 1 Night (Day before the Conference 1st day) + $100
Accommodation - 1 Night (Conference 1st day Night) + $100
Accommodation - 2 Nights (Day before the Conference 1st day+Conference 1st day Night) + $200
Accommodation - 3 Nights (Day before the Conference 1st day +Conference 1st day Night+ Conference 2nd day Night) + $300

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Address*

Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country

Optional (Certificate/Memento)*

Certificate required via post
Memento required via post
Certificate & Memento required via post
Not Required

Registration Fee

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Description

GST@18%

Price: $0.00

Coupon

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Credit Card / Debit Card

Card Details

Cardholder Name

*Stripe* - Credit/Debit Card/International Payments

Co- Author Details

Co- Author 2 Details

Co- Author 3 Details

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