10th ASPED-ESPE Endocrine Academy

14 – 16 April 2025
Sulaymānīyah, Iraq

• 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*
  Max. file size: 40 MB.
• Clear Passport Pages*
  Max. file size: 40 MB.
• Recommendation Letter*
  Max. file size: 40 MB.
• Upload Biosketch*
  Drop files here or Select files

  Max. file size: 40 MB.
• Unique ID