Call for Proposals | 5th Green Hospitals Asian Conference
You may use this form to submit details of your Proposal for Presentations for the 5th Green Hospitals Asian Conference at the Khoo Teck Puat Hospital in Singapore this October 8 - 10, 2019.

Please fill this form as much as you can with the details being requested. Those with the red asterisks are strictly required and should not be missed. Once you are done with filling out this form and has submitted, you will receive an email from the Global Green and Healthy Hospitals Asia team for confirmation and information on the next steps.

In the meantime, we look forward to receive your proposal for presentations!

Thank you and see you soon!

***CHOSEN PROPOSALS WILL ENJOY WAIVED REGISTRATION
> Airfare and Accommodations are NOT covered

> Deadline of submissions is on May 15, 2019

TITLE *
COMPLETE NAME *
Your answer
ORGANISATION/HOSPITAL/HEALTH SYSTEM *
Your answer
DESIGNATION/POSITION *
Your answer
EMAIL ADDRESS *
Your answer
MOBILE NUMBER/WHATSAPP/VIBER/LINE *
Your answer
WEBSITE/BLOG (if applicable)
Your answer
SUBJECT AREA (please select MOST relevant subject to which your presentation relates) *
TYPE OF PRESENTATION *
TITLE OF PRESENTATION *
Your answer
TARGET OUTCOMES (what do you hope to achieve or help attendees understand with your presentation?) *
Your answer
FULL PRESENTATION DESCRIPTION (max 300 words) *
Your answer
YOUR BIO (please describe yourself in 5 sentences) *
Your answer
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