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ABSTRACT FORM

EXTENDED DEADLINE FOR SUBMITTION OF ABSTRACTS: JANUARY 29, 2004

Please fill out this form carefully:

  • Fields marked with (*) are required.

HELP

PRESENTING AUTHOR'S DETAILS
Family name / Surname:(*)
First name(s):(*)
Title:  
Mailing Information  
Institution/Organization:
complete this field only if it is part of your mailing address
Department:
complete this field only if it is part of your mailing address
Address:(*)
 
City:(*)
State:
Country:(*)
Postal code:(*)
Work phone (office hours): (*)
Country code/city code/number
Home phone
Country code/city code/number
Fax:
Country code/city code/number
E-mail address:(*)
Please ensure e-mail address is accurate.

PRESENTATION TYPE (*)

Invited speakers should also submit their abstracts through this form, and indicate the appropriate type of presentation.

Abstracts may be selected for oral presentation. Authors wishing to be considered for oral presentation should choose this option below.

Instructions on the preparation of posters will be included with the notification of acceptance.
Oral Presentation Poster Presentation Invited Lecture No Preference
 

AFFILIATIONS (*)

Please list below the INSTITUTION / HOSPITAL, DEPARTMENT, CITY and COUNTRY etc. details for the authors of the paper. You will need to refer to them later by the affiliation number next to the box.
Please do not enter the same information more than once.

  Institution / Hospital, Department, City, Country
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
 

AUTHORS (*)

  1. Please list all the authors, including the presenting author, in the order they should appear in all publications.
  2. In the affiliation field please enter the number corresponding to the appropriate affiliation as entered above (e.g.: 1).
  3. Please do not enter full names, initials only will be shown on all congress publications.
    Example: J.B. Smith and not John B. Smith.
  4. Please choose only one presenting author
1
First & middle Initial(s) Family name / Surname Affiliation numbers
as entered above		 Presenting Author
2
First & middle Initial(s) Family name / Surname Affiliation numbers
as entered above		 Presenting Author
3
First & middle Initial(s) Family name / Surname Affiliation numbers
as entered above		 Presenting Author
4
First & middle Initial(s) Family name / Surname Affiliation numbers
as entered above		 Presenting Author
5
First & middle Initial(s) Family name / Surname Affiliation numbers
as entered above		 Presenting Author
6
First & middle Initial(s) Family name / Surname Affiliation numbers
as entered above		 Presenting Author
7
First & middle Initial(s) Family name / Surname Affiliation numbers
as entered above		 Presenting Author
8
First & middle Initial(s) Family name / Surname Affiliation numbers
as entered above		 Presenting Author
9
First & middle Initial(s) Family name / Surname Affiliation numbers
as entered above		 Presenting Author
10
First & middle Initial(s) Family name / Surname Affiliation numbers
as entered above		 Presenting Author
11
First & middle Initial(s) Family name / Surname Affiliation numbers
as entered above		 Presenting Author
12
First & middle Initial(s) Family name / Surname Affiliation numbers
as entered above		 Presenting Author
13
First & middle Initial(s) Family name / Surname Affiliation numbers
as entered above		 Presenting Author
14
First & middle Initial(s) Family name / Surname Affiliation numbers
as entered above		 Presenting Author
15
First & middle Initial(s) Family name / Surname Affiliation numbers
as entered above		 Presenting Author
16
First & middle Initial(s) Family name / Surname Affiliation numbers
as entered above		 Presenting Author
17
First & middle Initial(s) Family name / Surname Affiliation numbers
as entered above		 Presenting Author
18
First & middle Initial(s) Family name / Surname Affiliation numbers
as entered above		 Presenting Author
 

ABSTRACT TITLE (*)

PLEASE ENTER THE ABSTRACT TITLE
 
TABLES / DIAGRAMS / GRAPHS / IMAGES
Tables diagrams or graphs must be saved as image files first before uploading. File type of the image should be .bmp or .jpg - other file types cannot be accepted. Click here for more information
The image resolution must be not more than 150 DPI
  • Image width: no more than 13cm
    Image height: no more than 18cm

  • The image size will affect the number of words in your abstract.

  • Please note that the image may be resized to fit in the final printed material.
Click on the button to add an image.
 

ABSTRACT BODY (*)

Please note:

  • Please do not repeat information already entered
    (i.e. author affiliations; authors; abstract title).

  • The abstract text should not exceed 250 words.
Please enter the text of your abstract in the box below.
 
PREVIEW AND PROOFREAD
To preview your abstract before submission click on the preview button.
 
For queries email headache@kenes.com
After clicking the "submit" button you will receive a reference number, it means that your abstract was submitted correctly.
Please press the "Submit" button ONCE only.
 
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