The 2nd Asia-Pacific Pediatric Retina Association (APPREA) Meeting Call for papers7288

【 Application Form 】

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1.Presenting Author Information

※Name (First,Middle,Family)

※Affiliation (xxx University / xxx Hospital)

※Position

Please specify:

※Address1 (Street)

※Address2 (Room,Building)

※Address3 (City)

※Country

※E-mail

※Phone (e.g., +81-90-1234-5678)

2.Co-Author Information

You may register up to 10 co-authors.
Please enter the name and affiliation for each co-author below.

Co-author 1 Name

Co-author 1 Affiliation

Co-author 2 Name

Co-author 2 Affiliation

Co-author 3 Name

Co-author 3 Affiliation

Co-author 4 Name

Co-author 4 Affiliation

Co-author 5 Name

Co-author 5 Affiliation

Co-author 6 Name

Co-author 6 Affiliation

Co-author 7 Name

Co-author 7 Affiliation

Co-author 8 Name

Co-author 8 Affiliation

Co-author 9 Name

Co-author 9 Affiliation

Co-author 10 Name

Co-author 10 Affiliation

3.Presentation Contents

Please note that the final decision on the presentation format will be made by the Congress Chair.
Your preferred presentation type may be subject to change.

Please select different categories for your 1st and 2nd choices.

※Presentation Preference

OralPosterEither

※Preferred Category (1st Choice)

※Preferred Category (2nd Choice)

※Abstract Title (up to 40 words)

※Short Title (up to 15 words)

■Guidelines
Please prepare and submit your abstract in accordance with the following guidelines.

・The abstract body must not exceed 600 words. Abstracts over this limit will not be accepted.

・Abbreviations may be used in the abstract title and short title.
　All abbreviations must be defined at first mention in the abstract body.

・Define abbreviations at first use (e.g., intraocular lens (IOL), medial rectus (MR)).
　Well-established abbreviations such as DNA and RNA do not require definition.

※Abstract Text

Please name the abstract file using the following format:
[Preferred Category Number_Abstract Title_Author Name]

(Example) If the preferred category is 5. Trauma:
5_test title_Name

Allowed formats: DOCX
Size limit: PDF/Office: Max 15MB

※ Please review and agree to the Personal Information Protection Policy.

The organizers recognize the importance of our responsibility to protect the personal information provided to us by the applicants during the application process. The organizers comply with the laws, regulations and guidelines of Japan pertaining to the handling of personal information.

・Purpose of Use of Personal Information
The personal information provided will be used for the following purposes: provide services/information on this meeting, post-meeting services and marketing activities via email, as well as customer trend analysis.

・Disclosure/Provision of Personal Information to Third Parties
The organizers and Congrès Inc. will disclose or provide information to third parties in case one of the following criteria is applicable:
1. In case disclosure/provision is required by law.
2. In case the information is required in order to protect a person's life, physical safety or assets, in a situation where it is impractical to obtain the consent of the registered applicant.
3. In case statistical data, etc. can be disclosed/provided in a format, with which specific individuals cannot be identified.

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