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Online Registration for Local Delegates
All fields marked with
*
are mandatory
Last Name
*
:
Initials
*
:
Title
*
:
Select Title
Dr
Prof
Mr
Mrs
Ms
Gender
*
:
Select Gender
Male
Female
Institution
*
:
Designation :
Contact Details
Telephone Mobile
*
:
Telephone Office :
Postal Address
*
:
Email
*
:
Meal preference?
*
Vegetarian
Non-Vegetarian
Are you a member of the SLMA?
*
Yes
No
Not applicable