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Ophthalmology Congress Abstracts | Ophthalmology Conferences Middle East | Ophthalmology Meetings UAE | Ophthalmology Congress Dubai | Top Ophthalmology Conferences | Ophthalmology Conferences Europe | Vision Science Conferences UK | Aver Video Conferencing | Aver Europe | Aver India | Ophthalmology Conference UK

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class="row"> <div class="col-md-2"></div> <div class="col-md-8" style="background-color: #ccc;padding: 20px;"> <!-- Display submission status --> <form method="post" action="" enctype="multipart/form-data"> <div class="row"> <div class="col-md-6 col-xs-12" style="margin-top: 25px;"> <select class="form-control" name="title" required=""> <option value="">Select Title</option> <option value="Dr.">Dr.</option> <option value="Mr.">Mr.</option> <option value="Mrs.">Mrs.</option> <option value="Ms.">Ms.</option> </select> </div> <div class="col-md-6 col-xs-12" style="margin-top: 25px;"> <input type="text" name="name" class="form-control" placeholder="Your Name *" required=""> </div> <div class="col-md-6 col-xs-12" style="margin-top: 25px;"> <input type="email" name="email" class="form-control" placeholder="Your Email *" required=""> </div> <div class="col-md-6 col-xs-12" style="margin-top: 25px;"> <select class="form-control" name="cat" required=""> <option value="">Categories</option> 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col-xs-12" style="margin-top: 25px;"> <select class="form-control" name="session" required=""> <option value="">Please Select session</option> <option value="Optometry and VisionScience">Optometry and VisionScience</option> <option value="Innovations in Eye Care">Innovations in Eye Care</option> <option value="Retina and Diabetic Retinopathy">Retina and Diabetic Retinopathy</option> <option value="Genetical disorders of Eye">Genetical disorders of Eye</option> <option value="Dry Eye and Blepharitis">Dry Eye and Blepharitis</option> <option value="Digital Eye Strain">Digital Eye Strain</option> <option value="Cornea and External diseases">Cornea and External diseases</option> <option value="Neuro-Ophthalmology">Neuro-Ophthalmology</option> <option value="Pediatric Ophthalmology">Pediatric Ophthalmology</option> <option value="Veterinary Vision">Veterinary Vision</option> <option value="Diplopia or Double Vision">Diplopia or Double Vision</option> <option value="LASIK (Laser In-Situ Keratomileusis)">LASIK (Laser In-Situ Keratomileusis)</option> <option value="Cataract and Refractive Surgery">Cataract and Refractive Surgery</option> <option value="New Technologies and Diagnostic Tools in Optometry">New Technologies and Diagnostic Tools in Optometry</option> <option value="Glaucoma">Glaucoma</option> <option value="Others">Others</option> </select> </div> <div class="col-md-6 col-xs-12" style="margin-top: 25px;"> <input type="text" name="phone" class="form-control" placeholder="Your Phone*" required=""> </div> <div class="col-md-6 col-xs-12" style="margin-top: 25px;"> <select id="country" name="country" class="form-control" required=""> <option value="">Country*</option> <option value="Afganistan">Afghanistan</option> <option value="Albania">Albania</option> <option value="Algeria">Algeria</option> <option value="American Samoa">American Samoa</option> <option value="Andorra">Andorra</option> <option value="Angola">Angola</option> <option 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<option value="Moldova">Moldova</option> <option value="Monaco">Monaco</option> <option value="Mongolia">Mongolia</option> <option value="Montserrat">Montserrat</option> <option value="Morocco">Morocco</option> <option value="Mozambique">Mozambique</option> <option value="Myanmar">Myanmar</option> <option value="Nambia">Nambia</option> <option value="Nauru">Nauru</option> <option value="Nepal">Nepal</option> <option value="Netherland Antilles">Netherland Antilles</option> <option value="Netherlands">Netherlands (Holland, Europe)</option> <option value="Nevis">Nevis</option> <option value="New Caledonia">New Caledonia</option> <option value="New Zealand">New Zealand</option> <option value="Nicaragua">Nicaragua</option> <option value="Niger">Niger</option> <option value="Nigeria">Nigeria</option> <option value="Niue">Niue</option> <option value="Norfolk Island">Norfolk Island</option> <option value="Norway">Norway</option> <option value="Oman">Oman</option> <option value="Pakistan">Pakistan</option> <option value="Palau Island">Palau Island</option> <option value="Palestine">Palestine</option> <option value="Panama">Panama</option> <option value="Papua New Guinea">Papua New Guinea</option> <option value="Paraguay">Paraguay</option> <option value="Peru">Peru</option> <option value="Phillipines">Philippines</option> <option value="Pitcairn Island">Pitcairn Island</option> <option value="Poland">Poland</option> <option value="Portugal">Portugal</option> <option value="Puerto Rico">Puerto Rico</option> <option value="Qatar">Qatar</option> <option value="Republic of Montenegro">Republic of Montenegro</option> <option value="Republic of Serbia">Republic of Serbia</option> <option value="Reunion">Reunion</option> <option value="Romania">Romania</option> <option value="Russia">Russia</option> <option value="Rwanda">Rwanda</option> <option value="St Barthelemy">St Barthelemy</option> <option value="St Eustatius">St Eustatius</option> <option value="St Helena">St Helena</option> <option value="St Kitts-Nevis">St Kitts-Nevis</option> <option value="St Lucia">St Lucia</option> <option value="St Maarten">St Maarten</option> <option value="St Pierre & Miquelon">St Pierre & Miquelon</option> <option value="St Vincent & Grenadines">St Vincent & Grenadines</option> <option value="Saipan">Saipan</option> <option value="Samoa">Samoa</option> <option value="Samoa American">Samoa American</option> <option value="San Marino">San Marino</option> <option value="Sao Tome & Principe">Sao Tome & Principe</option> <option value="Saudi Arabia">Saudi Arabia</option> <option value="Senegal">Senegal</option> <option value="Seychelles">Seychelles</option> <option value="Sierra Leone">Sierra Leone</option> <option value="Singapore">Singapore</option> <option value="Slovakia">Slovakia</option> <option value="Slovenia">Slovenia</option> <option value="Solomon Islands">Solomon Islands</option> <option value="Somalia">Somalia</option> <option value="South Africa">South Africa</option> <option value="Spain">Spain</option> <option value="Sri Lanka">Sri Lanka</option> <option value="Sudan">Sudan</option> <option value="Suriname">Suriname</option> <option value="Swaziland">Swaziland</option> <option value="Sweden">Sweden</option> <option value="Switzerland">Switzerland</option> <option value="Syria">Syria</option> <option value="Tahiti">Tahiti</option> <option value="Taiwan">Taiwan</option> <option value="Tajikistan">Tajikistan</option> <option value="Tanzania">Tanzania</option> <option value="Thailand">Thailand</option> <option value="Togo">Togo</option> <option value="Tokelau">Tokelau</option> <option value="Tonga">Tonga</option> <option value="Trinidad & Tobago">Trinidad & Tobago</option> <option value="Tunisia">Tunisia</option> <option value="Turkey">Turkey</option> <option value="Turkmenistan">Turkmenistan</option> <option value="Turks & Caicos Is">Turks & Caicos Is</option> <option value="Tuvalu">Tuvalu</option> <option value="Uganda">Uganda</option> <option value="United Kingdom">United Kingdom</option> <option value="Ukraine">Ukraine</option> <option value="United Arab Erimates">United Arab Emirates</option> <option value="United States of America">United States of America</option> <option value="Uraguay">Uruguay</option> <option value="Uzbekistan">Uzbekistan</option> <option value="Vanuatu">Vanuatu</option> <option value="Vatican City State">Vatican City State</option> <option value="Venezuela">Venezuela</option> <option value="Vietnam">Vietnam</option> <option value="Virgin Islands (Brit)">Virgin Islands (Brit)</option> <option value="Virgin Islands (USA)">Virgin Islands (USA)</option> <option value="Wake Island">Wake Island</option> <option value="Wallis & Futana Is">Wallis & Futana Is</option> <option value="Yemen">Yemen</option> <option value="Zaire">Zaire</option> <option value="Zambia">Zambia</option> <option value="Zimbabwe">Zimbabwe</option> </select> </div> <div class="col-md-6 col-xs-12" 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