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NAD 19th Annual General Meeting and Scientific Conference (LAGOS 2025)
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Event Date:
Wednesday, 25 June 2025 - 9:00am
to
Saturday, 28 June 2025 - 6:00pm
Location:
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Radisson Blu Hotel | Zoom
Title
*
- Select -
Prof.
Dr.
Mr.
Ms.
First Name
*
Surname
*
Phone Number
*
Email
*
Occupation
*
- Select -
Consultant Dermatologist
Dermatology Senior Registrar
Consultant Physician (other specialties)
Aesthetic Physician
Medical Officer/Medical Doctor
Registered Nurse (Please upload BN or BSc Certificate)
Aesthetician
Skincare/Cosmeceutical Industry Expert
Medical Student
Others
Other for Occupation
Specialty
*
Anaesthesiologist
Cardiologist
Cardiothoracic Surgeon
Chemical Pathologist
Community Medicine
Dental Surgeon
Dermatologist
Ear, Nose & Throat Doctor (ENT)
Endocrinologist
Family Medicine
Gastroenterologist
General Dentistry
General Medical Practice
General surgeon
Haematologist
Haemato-Pathologist
Histopathologist
Internal Medicine
Medical Microbiologist
Mental Health
Nephrologist
Neurosurgeon
Neurologist
Obstetrician & Gynaecologist
Oncologist
Chemo Oncologist
Surgical Oncologist
Ophthalmologist
Oral and Maxillofacial Pathology
Oral and Maxillofacial Surgeon
Orthodontist
Orthopaedic Surgeon
Paediatrician
Paediatric Surgeon
Pathologist
Periodontist
Plastic Surgeon
Psychiatrist
Public Health Physician
Pulmonologist
Radiologist
Rheumatologist
Urologist
Others
Specialty (Others):
Organization
*
Country
*
Afghanistan
Aland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo (Brazzaville)
Congo (Kinshasa)
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong S.A.R., China
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Ivory Coast
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao S.A.R., China
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
North Korea
Norway
Oman
Pakistan
Palau
Palestinian Territory
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
U.S. Virgin Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican
Venezuela
Vietnam
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
State of work
*
- Select -
Lagos
Abuja
Rivers
Anambra
Enugu
Akwa Ibom
Adamawa
Abia
Bauchi
Bayelsa
Benue
Borno
Cross Rivers
Delta
Ebonyi
Edo
Ekiti
Gombe
Imo
Jigawa
Kaduna
Kano
Katsina
Kebbi
Kogi
Kwara
Nasarawa
Niger
Ogun
Ondo
Osun
Oyo
Plateau
Sokoto
Taraba
Yobe
Zamfara
Physical or Virtual Attendance
*
- Select -
Phyiscal
Virtual
Category
*
- Select -
Fellow and Member NAD
Associate Fellow/ Associate Member NAD
Non-NAD member Physician/ Medical Doctor (Nigerian)
Non-NAD member Dermatologist or Physician (International)
Registered Nurse
Aesthetics Practitioner
Cosmeceutical Industry Expert
National or International Participant
*
National (Based in Nigeria)
International (Based outside Nigeria)
If National, will you be travelling to Lagos by road or air?
*
- Select -
By road
By air
N/A I live in Lagos
Amount
- None -
Residents: NGN25,000
Members: NGN35,000
Residents: NGN25,000 (plus NGN560 transaction fee)
Members: NGN35,000 (plus NGN700 transaction fee)
Others: NGN45,000 (plus NGN842 transaction fee)
If you are a registered nurse please upload your B Nursing or BSc Certificate here
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Please attach evidence of conference fee payment here *
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