Speaker Registration

[textarea* postal-address class:reg-input placeholder "Postal / Mailing Address *" 4x5]

Highest Qualification *
Select QualificationMBBSMDMSPhDFCPSMRCPFRCPPost Graduate DiplomaOther

Area of Specialization *
Select SpecializationNeurologyNeurosurgeryNeuroscienceNeuropsychiatryPain ManagementPediatric NeurologyNeuro-OncologyNeurophysiologyNeuroimmunologyNeuropathologyNeuroimagingNeurological DisordersSleep DisorderStrokeMovement DisordersParkinsons DiseaseEpilepsyMultiple SclerosisAlzheimers and DementiaNeuromuscular DiseaseCerebrovascular DisordersNeurorehabilitationNeuroradiologyGeneral MedicineOther

Brief Biography / Professional Summary *
[textarea* biography class:reg-input placeholder "Please provide a brief biography (max 300 words) including your research interests, achievements and expertise..." 6x5]

Speaker Type *
Select Speaker TypeKeynote SpeakerInvited SpeakerSession ChairWorkshop FacilitatorPanel Discussion SpeakerYoung Researcher PresenterPoster Presenter

Preferred Presentation Track *
Please Select Track1 - Neurology2 - Neurosurgery3 - Neuroscience4 - Neuropsychiatry5 - Pain Disorder and Management6 - Central Nervous System7 - Pediatric Neurology8 - Neuro-Oncology and Brain Tumors9 - Neurophysiology10 - Neuroimmunology11 - Neuropathology12 - Neuroimaging13 - Neurodegenerative disease and Neurodegeneration14 - Neurological Disorders15 - Sleep Disorder16 - Stroke17 - Movement Disorders18 - Parkinsons Disease19 - Epilepsy20 - Multiple Sclerosis21 - Alzheimers Disease and Dementia22 - Neuromuscular Disease23 - Case Studies and Clinical Trials24 - Novel Treatment Strategies25 - Speech Disorders26 - Demyelinating Disorders27 - Cerebrovascular Disorders28 - Autoimmune and Inflammatory Disorders29 - Neuropathy30 - Headache and Facial Pain31 - Diagnosis and Screening of Neurological Disorders32 - Neuropharmacology and Neurochemistry33 - Stem Cells and Neuroregeneration34 - Cognitive Neuroscience35 - Motor System Disorders36 - Behavioral Neurology37 - Computational Neuroscience38 - Neurogenetics39 - Spinal Neurosurgery40 - Pediatric Neurosurgery41 - Stereotactic and Functional Neurosurgery42 - Neurovascular Surgery43 - Intraoperative Neurophysiology44 - Peripheral Nerve Surgery45 - Robotics in Neurosurgery46 - Latest advancement in Brain Surgery47 - Skull Base Surgery48 - Trauma and Critical Care49 - Child Psychology50 - Social Cognitive Neuroscience51 - Neurophysics52 - Neuroradiology53 - Neurorobotics54 - Advanced Imaging Techniques55 - Personalized Medicine56 - Neuroinformatics57 - Gene Therapy58 - Neural Interface and Brain-Computer Interface BCI59 - Neurorehabilitation60 - Regenerative Medicine and Stem Cell Therapy61 - Telemedicine in Neurology62 - Nano-Neuroscience63 - Neurosurgical Innovations64 - Neuroethics65 - Precision Psychiatry66 - Neuromodulation and New Therapeutic Approaches67 - Microbiome and Neurological Health68 - Neurological Implications of COVID-19

Presentation Title *

Presentation Abstract *
[textarea* presentation-abstract class:reg-input placeholder "Brief abstract of your presentation (max 250 words)..." 6x5]

Have you presented at international conferences before? *
Select OptionYesNo

Upload CV / Resume *

Accepted formats: PDF, DOC, DOCX (Max 5MB)

Upload Profile Photo (Optional)

Accepted formats: JPG, PNG (Max 3MB) - used for conference website

Audio/Visual Requirements
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Special Requirements / Dietary Needs
[textarea special-requirements class:reg-input placeholder "Please mention any special requirements, dietary restrictions, or accessibility needs..." 3x5]