Abstract Submission

ABSTRACT SUBMISSION

Personal Details:

Title

First Name

Surname

Organisation

Position

Telephone

Mobile Number

Email

Country

HPCSA Number

Have you presented an abstract previously or been credited as the senior author of an abstract presented at a past Southern African HIV Clinicians Society conference, SA AIDS, CROI or IAS conference?

Yes

No

Are you actively involved in HIV work?

Yes

No

Do you regularly treat individuals infected with HIV?

Yes

No

Do you represent a community-based group?

Yes

No

Have you presented / published previously?

Yes

No

Abstract Submission Details:

Abstract Title

Track / Category (option 1)

Track / Category (option 2)

Conflict declaration

Abstract Upload

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Southern African HIV Clinicians Society
Tel: +27 (0) 11 728 7365 | Email: janice@sahivcs.org | Website: www.sahivsoc.org

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