THIS REGISTRATION FORM IS PERSONAL.

If you are going to participate as an exhibitor of more than one project,

please mark the indicated fields.
If you do not participate with project and will be only listener. YOU MUST ALSO REGISTER
In the past event, there were people who exposed more than one Project. This if possible, encouragement!.

Name JULIO ABRAHAM

Last name UVALLE OLIVARES
Institution INSTITUTO MEXICANO DEL SEGURO SOCIAL
Email Address laqbuvalle@gmail.com
Work Phone 0444493861227
Job Title (choose) Other
Country MEXICO
City or state AGUASCALIENTES
Number of abstracts with which I do not participate, I will only attend the confe
you will participate
What will be your involvement? I do not participate, I will only attend the confe
Date your registration was sent 07/11/2017

If you participate with more than one abstract, please fill in one box for each title.

Abstract Title 1
(Please only title)

Format of participation ORAL

Are you an author or coauthor? Author

Abstract Title 2
(Please only title)

Format of participation ORAL

Are you an author or coauthor? Author
 Abstract Title 3
(Please only title)

Format of participation ORAL

Are you an author or coauthor? Author

Abstract Title 4
(Please only title)

Format of participation ORAL

Are you an author or coauthor? Author

Have you previously participated in Seminaries on Amebiasis ? Yes

Would you like to receive information of the following Seminars on Amebiasis ? Yes

How did you hear about the XIX International Seminar on Amebiasis 2018:
WEBSITE SEMINAR ON AMEBIASIS 2017

With the information you provide, the exhibitor and / or assistant certificates will be made.
To expedite the delivery of your welcome kit to the event, please register.

Please: send your registration in a PDF file, as follows:

Name_Last name_ Registration.pdf
Example: Cecilia_Ximenez_Registration.pdf
Send to mail: seminario.amibiasis@gmail.com