1. Presenting Author’s Information:

Title*          Prof.     Dr.          Mr.          Ms
Family Name* First Name*
Institution*
Contact Address*
City* State
Country* Zip Code*
Phone (Including country/area code)*
Fax. Mobile phone

Corresponding author
E-mail of corresponding author*

2. Mode of presentation preference: Please mark your preference below but note that the Scientific Committee will make the final decision on the presentation format of your submission:

Oral Presentation Poster Presentation Video presentation

3. Audio/Visual Aid Requirement: (No VHS video tapes accepted)

Microsoft Powerpoint
Video or Other

4. Theme of paper:

Allergic rhinitis Laser surgery Nose & PNS tumors
Sinus surgery Sleep disorder Turbinate surgery
Genetics Nasal polyps Rhinosinusitis    
Rhinoplasty/Septoplasty Skull base surgery Taste & Olfaction
Other

5. CONTENT OF ABSTRACT (Should not exceed 250 Words)

Title

Authors

Institution

Background

Objectives

Material & Methods

Results

Conclusion

6. Copyright agreement:

I agree that the Organizing Committee of the 13th ARSR has the right to use the materials I have submitted such as my curriculum vitae and abstract, for reproduction in publications related to the congress, such as homepage and congress proceedings.

I would like to enroll in "the 13th ARSR's best research award"