Pre-convention Workshop Registration

1. Please fill out separate form for each proposed workshop and/or specialization.
2. All fields are mandatory. Guidelines/examples are available for filling out information under each category.
3. Deadline for submission is August 2022.

Your name

Title of the Workshop

Domain of the Workshop

Specialization

Learning Outcomes (Highlight a few learning outcomes of the proposed workshop)

Target audience (Who is the target audience e.g., UG Students, PG Students, MOs, Assistant consultants, research fellows etc?)

Maximum number of participants (What is the maximum number of participants that the proposed workshop can handle?)

Name & Affiliation of the Lead Facilitator (Name along with complete address and cell no. of the Lead Facilitator)

Co-Facilitator (if any) (Name along with complete address and cell no. of the Co-facilitator).

Duration of the workshop (What is the total duration of workshop in hours (inclusive of tea/lunch breaks)?

Method of Instruction

Resources / Logistics Required (Enter the resources and/or logistics required for conducting the workshop e.g., any medical equipment, computers, internet, audio/visual aid, stationary, certificates, shields, photography, transport, tea break, lunch, dinner etc.)

Desired/Proposed Venue (Enter the desired/proposed venue e.g., auditorium, lecture hall, computer lab, conference room.)

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