GMLD Conference - Registration

Name

RA/RF Number

If you a facilator, please use 111 as MLS ID

State of Practice

E-Mail Address

Password

Confirm Password

Name on Certificate

Please indicate how your name should be written on the certificate.

Facility Name

Position

Address

City

State

Phone

Survey Questions

Lab GPS Location

(e.g., 9.0728807, 7.4838486). This is your laboratory gps location. Find your lab. location on google map and copy the geolocation here.

Does your lab have capacity for reagent production?

What specialty?Select one or more options

What is your major challenge? Select one or more options