3. I understand that being a speaker /author in AEEDC Dubai 2016

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UAE International Dental Conference & Arab Dental Exhibition
AEEDC Dubai 2016
2nd – 4th February
Dubai International Convention and Exhibition Centre
Conference Lecture Abstract Form
Deadline: 20th September 2015
For office use only
Please complete and submit this form to:
INDEX Conferences & Exhibitions Organisation Est.
P.O. Box: 13636, Dubai – United Arab Emirates
Tel: +971 4 3624717, Fax: +971 4 3624718
E-mail: abstract@aeedc.com
Date Rcvd. ______________________
Reg. No. ________________________
Abs. No. ________________________
Speaker’s
Name:
Title:
Prof.
Dr.
________________________
Aesthetics
Anaesthesia
Dental Emergency
Dental Ergonomics
Dental Ethics
Dental Hygiene
Dental Laboratory Technology
Dental Practice Growth (Management, Marketing, and IT
integration)
Endodontology
Four /Six Handed Dentistry
Infection Control
Laser Dentistry
Oral and Maxillofacial Surgery
Intra Oral Photography
Oral/Medical Photography
Oral Implantology
Oral Pathology, Oral Medicine
Orthodontics
Pediatric Dentistry
Periodontology
Prosthodontics
Restorative Dentistry
Robotic Dentistry
Other ,please specify----------------------------------------------
Presentation
Field:
Sector:
Other, please specify
UAE
GCC & MENA region
International
Academic
Private
Other, please specify
________________________
Degree:
( e.g. :MSc.
FDS RCS, PhD,
FHEA )
Current
Position:
Short
Biography:
(Maximum 40
words)
CV:
Kindly attached your full CV
Photograph:
(passport size)
Kindly attached your recent photograph:(High resolution)
Format: JPG or pdf
Resolution:300dpi
File size: more than 1mb
Presentation
Title:
(Maximum 20
words)
Abstract: (Maximum of 100 words)
Introduction: (Maximum of 200 words)
Learning Objectives: (5 Objectives required. These should also be in your
presentation)
Presentation Slides:
Presentation Slides” outline is mandatory for the accrediting of any lecture.
Kindly find the below guidelines for your perusal:
 You may send the outline in the following formats: word document, pdf form
scanned copies.
 The lecture content should not be of commercial nature ( no endorsement for
any specific commercial drugs, materials, products, treatments, or services)
 Acknowledge the speaker sources by citing the references in presentation
slides.
The DHA accreditation Committee may request further information or documentation on
a case by case basis and both AEEDC and the speaker are obliged to comply.
Literature
Review :
Provide at least three literature references in relation to your
presentation.
Who should attend your lecture?
General Practitioners
Specialists
Dental Assistants
Dental Students
Dental Hygienists
Dental Technicians
Expected
duration:
30 minutes
45 minutes
90 minutes
Note:
Have you
previously
presented any
lecture /course
in any regional
/International
events?
Yes or
60 minutes
120 minutes
No
If yes, please specify the name of the event.
Note:
Please provide information if this lecture has been presented previously or will be before
AEEDC 2016
If yes, please specify:
Your Contact Information
Organisation:
Tel:
Mob:
Fax:
Email:
Address:
Abstracts not complying with the specified format will not be considered.
Abstract Submission Guidelines:
*(The term organizer means INDEX Conferences & Exhibitions Organisation Est.)

Abstract should not exceed 100 words. The abstract must be in English, font size
12 in Times New Roman fonts and with single-line spacing.
 Abstracts should be submitted by e-mail or through online submission at
www.aeedc.com. Abstracts that are handwritten, or sent by fax will not be
accepted.
 Abstract content must meet the standard of an academic / scientific presentation.
 In cases of research or clinical study, the abstract must be based on the original
research or original clinical case studies, or their modifications.
 The AEEDC Scientific Committee will evaluate the content of each abstract and
make the final selection of the abstracts for presentation.
 The presentation must cover the same material as the abstract.
 If the abstract has been selected for presentation the speaker automatically gives
permission for the abstract published in the conference program or to any postconference announcement.
Optional: Would you agree to upload your presentation or a recording of your
lecture on the event’s website?
Yes
No
 No abstracts will be considered after 20th September 2015.
 For any withdrawals, the speaker should notify the *organiser in writing as soon
as possible or minimum of 2 months prior to the event.

Any particular equipment and materials which is necessarily to conduct the
session is be declared to organizer and approved to be obtained latest by the
submission of the presentation.
P.S: Please respect the deadline for presentation submission (1st of November
2015) delay in submission the presentation will result in delay on CPD
accreditation and possibly in cancellation the session.
 For AV preparation, the below will be provided during conference presentation:
 Projection Screen size: 3.2 m height x 4.3 m width(10.5ft x 14ft)
 LCD Projector – 10000 ANSI LUMENS
 Laptop
 DVD player (in case of movies)
 Audio System and Speakers
 Podium Microphones
 Headset Microphone or Lapel Microphone
 Laser pointer.
 Clicker remote
P.S: Special requirement and specifications need to be requested and reconfirmed with
the organizer.
Disclaimer Statement
In order to maintain efficiency, the following disclaimer should be signed and
understood, informing both the Speaker/Author and *Organizer/Event responsibilities.
1.
I understand that the submission of an abstract does not automatically entitle me
to participate in AEEDC Dubai 2016 neither as a speaker nor as a participant.
2. Being a speaker/author in AEEDC Dubai 2016, I undertake to complete and submit
any other disclosure statements required by any other organisation, including the
conference organizer, in relation to my participation in AEEDC Dubai 2016, and I
guarantee that the disclosure statement will be complete and truthful to the best of
my knowledge.
3. I understand that being a speaker /author in AEEDC Dubai 2016, my name will be
automatically included in the nomination list of speakers for the Best Speaker
Award.
4. I have made every effort to guarantee the accuracy of the information supplied
within the Abstract Form, and disclaim all warranties with regards to the
information included on the Abstract Form without limitation.
5. I fully understand that AEEDC Dubai will not be held responsible for any errors or
omissions in the information provided in this form.
6. I understand that I will be solely responsible for my presentation, equipment such
as hard disk, flash memories, CDs, DVD, laser pointers, portable computer devices,
etc. and that AEEDC Dubai takes no responsibility, and disclaims any liability, for
any personal equipment in regard to my presentation.
7. I guarantee to not conduct any CME events (Conference, Courses, Seminars,
Symposiums, Demonstrations, Workshops, etc.) 30 days before, or 30 days after
the AEEDC Dubai 2016 in United Arab Emirates unless agreed with INDEX.
8. I guarantee to not conduct any CME events (Conference, Courses, Seminars,
Symposiums, Demonstrations, Workshops, etc.) on similar or the same
topic/subject/title 3 months before, or 3 months after the AEEDC Dubai 2016 in
United Arab Emirates unless agreed with INDEX.
9. I understand that I need to have travel insurance and the *organizers are not
liable for any emergency related to travelling to the event.
10. I understand that in case accepted to lecture at AEEDC Dubai 2016, the
*organizers cannot guarantee specific time or date and program slot for my
speech, and that last minute program changes are possible due to unforeseen
circumstances and are accepted by me.
11. I understand that if accepted to present at AEEDC Dubai 2016, I have to provide
my presentation (soft version) at least one month before the announced date of
the presentation.
12. I understand that photos will be taken during my presentation for marketing
purposes.
13. I understand that it is my responsibility to inform my presentation attendees of any
hazards risks involved in the clinical application of the information presented
without sufficient education, training and/or supervision.
14. I, the undersigned, declare that neither I, nor any member of my family has any
financial arrangement or affiliation with any corporate organisation offering
financial support for this continuing dental education programme, nor do I have a
financial interest in any commercial product(s) or service(s) discussed in the
presentation.
a. If yes, please state the name of the organisation and the kind of affiliation:
15. I understand that any handout materials to be distributed during or at the
conference/course presentation must be submitted to the AEEDC Scientific
Committee at least one month prior to the event for approval. Only approved
handout materials can be distributed during the conference/course session.
16. Presentation Slides” outline is mandatory for the accrediting of any lecture.
Kindly find the below guidelines for your perusal:
 You may send the outline in the following formats: word document, pdf form
scanned copies.
 The lecture content should not be of commercial nature (no endorsement for
any specific commercial drugs, materials, products, treatments, or services).
 Acknowledge the speaker sources by citing the references in presentation
slides.
The DHA accreditation Committee may request further information or
documentation on a case by case basis and both AEEDC and the speaker are
obliged to comply.
17. I understand that incomplete form will not be accepted as all required information
should be received before the submission deadline.
By signing this statement, I declare that the mentioned terms and conditions in points
from 1 to 1 in the disclaimer statement and the guidelines for abstract submission and
presentation are understood and accepted, and will be complied with and maintained.
Signature:
Date:
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