Abstract Submission | PHHMFORUM2024

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enctype="multipart/form-data"> <div class="row register-form"> <div class="col-md-6"> <div class="form-group"> <select name="title" class="form-control" placeholder="Title" required data-validation-required-message="Please select your title."> <option value="" selected=""> Select Titles </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="form-group"> <input type="text" class="form-control" placeholder="Your Name *" name="name" id="name" required="" data-validation-required-message="Please enter your name."> </div> <div class="form-group"> <input type="email" class="form-control" placeholder="Your Email *" name="Email" id="Email" required="" data-validation-required-message="Please enter your email address."> </div> <div class="form-group"> <input type="tel" class="form-control" placeholder="Your Phone *" name="phno" id="phno" required="" data-validation-required-message="Please enter your phone number."> </div> <div class="form-group"> Upload Abstract: <input type="file" name="uploadfile" placeholder="Upload File" required="" data-validation-required-message="Please upload your Abstract."> <a href="https://www.continuumforums.com/Abstract-Template.doc" target="_blank" style= 'color: #000';>Click Here to Download Sample Abstract Template</a> </div> <input type="submit" class="btnRegister" name="submit" value="Submit"/> </div> <div class="col-md-6"> <div class="form-group"> <input class="form-control" type="text" placeholder="Organization Name" name="org" data-validation-required-message="Please enter your organization Name." required=""> </div> <div class="form-group"> <select class="form-control" name="category" required> <option value="" selected=""> Interested In </option> <option value="Poster Presentation"> Poster Presentation </option> <option value="Oral Presentation"> Oral Presentation </option> <option value="Conducting Workshop"> Conducting Workshop </option> <option value="Conducting Symposium"> Conducting Symposium </option> <option value="Others"> Others </option> </select> </div> <div class="form-group"> <select class="form-control" name="track_name" required> <option value="">Please Select session</option> <option value="Global outbreak of Pandemics (COVID, Influenza, Ebola Vaccines)">Global outbreak of Pandemics (COVID, Influenza, Ebola Vaccines)</option> <option value="Vaccine Research & Development">Vaccine Research & Development</option> <option value="Food and Nutritional Health">Food and Nutritional Health</option> <option value="Sexual and Reproductive Health Practices">Sexual and Reproductive Health Practices</option> <option value="Child and Adolescent Mental Health">Child and Adolescent Mental Health</option> <option value="Women Health - Issues and Challenges">Women Health - Issues and Challenges</option> <option value="Dental Public Health and Nursing Health 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