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LADIC Registration Form
Registration for the Derma Aesthetic Conference of Hawler Medical University and London Aesthetic Dermatology Institute Conference (LADIC)
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Email address
*
Your answer
Full Name (as it should appear on the certificate)
*
Your answer
Institution (place of work)
*
Hawler Medical University
Erbil Directorate of Health
Other:
Highest degree obtained
*
MBChB
MSc or Higher Diploma
PhD or Board
Specialty
Your answer
Phone number
*
Your answer
Confirmation: By this online registration, I confirm that I will attend the conference and pay the registration fees of 150USD during onsite registration.
*
Confirmation
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