• Contact Information

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• Mailing Address*

• Event Information

  Kindly describe your event here.
• Event TItle*
• Expected Date*
  MM slash DD slash YYYY
• Event Duration*
  1-2 hours2-4 hours4 hours +
• Is this a series or a one-time event?*
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• Will the event have a re-run?*
  YesNo
• Has the activity been granted CME credits?*
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• As it has been accredited, please specify the hours and accrediting body*
• Nature of Event*
  • Online Scientific Meeting (Webinar)
  • Online Scientific Program with Industry Slot (Webinar)
  • Physical Scientific Meeting
  • Physical Scientific Program with Industry Slot
• Expected scale of attendees*
  • Up to 50
  • Up to 200
  • Up to 500
  • 500+
• Description*
  Please insert a brief description of your event below.
• Agenda
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  Kindly upload your current agenda if available
• Target Audience*
  Please list all types of HCPs who are potential target audience that will attend your event.
• Objectives*
  Please list the educational objectives of your event