Dr Ranade Oration Form 2024

Name *

Phone *

Email *

Age *

Postgraduate Qualification with month and year of completion (mm/yyyy): *

Details of publications on the subject of oration:

Additional qualification (Fellowship/Certificate course/Observership) with year of completion in the subject of oration:

Subject of Oration: *

Years of experience (Research work done) in the subject of oration: *

Indexed journals :

Peer reviewed journals:

Monographs:

Chapters in textbooks:

Details of presentations (papers/invited lectures) on the subject of oration:

Regional/State:

National:

International:

Topic of Oration with only title : *

Have you registered for the CUTICON 2024? *

Declaration: I hereby declare that the information provided in the application is true to the best of my knowledge and agree to withdraw my application, in case, any of the information is found false. *

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