Physician Speaker & Faculty Registration

Register as a guest faculty speaker, panelist, or clinical presenter for upcoming ONCORG educational webinars, global symposia, and clinical masterclasses.

1. Personal & Professional Credentials

Full Legal & Professional Name *

Designation / Title

Primary Medical Specialty

Medical License / NPI Number

Years of Clinical Practice

Primary Hospital / Academic Affiliation

2. Contact Information

Email Address *

Mobile Number *

Office / Clinic Phone

Mailing Address

3. Proposed Topic & Session Details

Proposed Topic Title *

Brief Abstract / Presentation Overview

Preferred Presentation Date

Preferred Time Slot Morning Afternoon Evening

Session Duration 30 min 45 min 60 min

Presentation Format Keynote Lecture Panel Discussion Case Workshop Interactive Q&A

4. Technical & Logistics Requirements

Projector / Screen Yes No

Laptop Provision Yes No (Bring Own)

Microphone Preference Lapel Handheld Podium

Travel Support Required? Yes No (Local / Virtual)

Hotel Accommodation Required? Yes No

Other AV or Technical Requirements

Additional Notes / Co-Presenter Info

I confirm that the proposed presentation adheres to evidence-based clinical guidelines and disclosure of commercial conflicts of interest. I grant permission to ONCORG to list my faculty session upon review. *

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