Registration for 3rd day main conference is mandatory to submit your abstract. Please register for the Main conference. Your abstract will be reviewed once you have completed the registration. Designation ---ConsultantPG traineeMedical OfficerNursing Sister / OfficerOther Surname (Last Name) (IN BLOCK LETTERS - as it should appear in the certificate) First name / Initials (IN BLOCK LETTERS - as it should appear in the certificate, Please type the initials if more than 15 characters in the name) NIC number / Passport number Contact number Email address PLEASE TYPE IN THE EMAIL ADDRESS CORRECTLY(as one word with no spaces in between) AS THE COMMUNICATION BEYOND THIS WILL BE VIA THE EMAIL ADDRESS YOU GIVE HERE. PLEASE DO NOT DUPLICATE THE EMAIL ADDRESS FOR ANOTHER REGISTRANT, AS EMAILS YOU RECEIVE WILL HAVE NO NAMES OF APPLICANTS WHEN WE REPLY. SAME APPLICANT CAN USE IT FOR DIFFERENT WORKSHOPS/CONFERENCE. Country of origin Sri LankaOther Please Specify Hospital / Institution attached to Unit / Department attached to Experience in Emergency/Critical Care (number of years) Upload file (.docx, .pdf, .doc)
