10th ASPED-ESPE Endocrine Academy

03 – 05 July 2025
Jeddah, KSA

• Contact Information

• Name (as in passport)*
• Date of Birth*
• Gender
• ASPED Membership Number*
• E-Mail Address (Important)*
• Tel (with country code)*
• Nationality (in passport –visa purposes)*
  ALGERIABAHRAINEGYPTIRANIRAQJORDANKUWAITLEBANONLIBYAMOROCCOOMANPALESTINEQATARSAUDI ARABIASUDANSYRIATUNISIAUNITED ARAB EMIRATESYEMENOTHER
• Professional position*
  ResidentSpecialistFellowConsultantOthers
• Institution name & address*
• Pediatric endocrine experience (years& months)*
• Previous ASPED ESPE endocrine academies, (if yes, when?)*
• Number of publications/abstract presentations
• Most recent publication title (if any)
• Titles of cases or research projects to present in the academy (diabetes cases/projects are not accepted)*
• Clinical challenges you face in your practice and would like to discuss in the Academy
• Any other comment
• Recent Passport Photo*
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• Clear Passport Pages*
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• Recommendation Letter*
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• Upload Biosketch*
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• Unique ID