ABSTRACT FORM

Extended Deadline for submission of abstracts: January 31, 2004

Before you begin please prepare the following information:

  • Contact details of presenting author
  • Abstract category (click here for list)
  • Detail of all affiliations of all abstract authors: department, institution / hospital, city, country
  • Authors names (initials and family name)
  • Abstract title, in capital letters
  • Abstract text is limited to a maximum of 280 words
  • Please note, once you press on submit, there is no option to edit the information you entered and you will have to start again!

  • 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.

TOPIC (*)

Please select a topic:

 
 
 
AFFILIATIONS (*)

Please list below the INSTITUTION / HOSPITAL, DEPARTMENT, CITY and COUNTRY 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.

  Department, Institution / Hospital, 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 indicate 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 IN UPPERCASE

 
 
ABSTRACT BODY (*)

Please note:

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

  • The abstract text should not exceed 280 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 neuropathic@kenes.com

Please note, once you press on submit, there is no option to edit the information you entered and you will have to start again.

After clicking the "submit" button you will receive a reference number, it means that your abstract was submitted correctly. This number will also be e-mailed to the e-mail address you supplied.

Please press the "Submit" button ONCE only.
 
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