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SGCR 2016 Faculty :: Prof Annamaria Belli
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ABSTRACT SUBMISSION FORM
Abstract Submission Deadline:
1 Nov 2015
PRESENTATION CATEGORY
Category
*
Oral Presentation (Scientific)
Poster Presentation (Scientific)
Poster Presentation (Educational)
Interventional Radiology Case Report (For Young IR Best Case Award only)
CLINICAL SPECIALTY
Specialty
*
Abdominal Radiology
Breast Radiology
Interventional Radiology
Musculoskeletal Radiology
Neuro / ENT Radiology
Thoracic Radiology
Radiation Oncology
Nuclear Medicine
Nursing and Quality Improvement
Radiography and Physics
Multisystem / Multidisciplinary
Vascular and Interventional Radiology
PRESENTING AUTHOR PARTICULARS
Title
*
Please select
Prof
A/Prof
Dr
Mr
Ms
Name
*
First
Last
Age (as of 1 Jan 2016)
*
Designation
*
Trainee
Nurse
Nuclear Medicine Physician
Radiation Oncologist
Radiographer / Allied Health
Radiologist
Department
*
Institution
*
Address (Line 1)
*
Address (Line 2)
*
Zipcode
*
Country
*
Contact No. (Mobile)
*
Email
*
ABSTRACT TITLE
Title of Abstract
*
Use a concise title (5 or 6 words, if possible) that reflects abstract content. Capitalise the first letter of first word and all other words except prepositions, conjunctions, and articles. Do not use acronyms, abbreviations, and initials in a title
.
ABSTRACT
Upload Abstract (see
template
)
DISCLOSURE POLICY & DECLARATION STATEMENTS
Declaration is intended to protect all parties involved from any potential conflict that may arise from the presentation.
Mandatory
*
I and my co-authors have NOT received funding in support of our work submitted herein, and have NO commercial interests or other conflicts of interest to declare.
I and my co-authors have received funding in support of our work submitted herein, or have the following commercial interests or conflicts of interest to declare (specify below):
Disclosure & Declaration
*
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