First International UHS Alumni Conference 2026
Registration Form
Please complete all required fields. Check applicable boxes where indicated.
Section 1: Personal Information
Name
Date of Birth
UHS Alumni Status
Already registered with UHS Alumni
Not registered
UHS Alumni DIP Number
Please enter your UHS Alumni registration DIP number (if available)
Are you UHS Student?
Yes
No
UHS Roll Number
Email Address
Phone Number
CNIC Number
Format: XXXXX-XXXXXXX-X
Job Title
Organization / Institution
Country
State / Province
City
Section 2: Professional Credentials
Professional Role
Doctor
Nurse
Dentist
Pharmacist
Allied Health
Administrator
Student
Other
Primary Specialty
Subspecialty
Highest Degree Earned
MBBS
BDS
FCPS
MCPS
MD
MS
Pharm-D
BSN
MSN
MPH
PhD
MLT
MLS
Other
Experience
Select Experience
0-5 years
6-10 years
11-20 years
20+ years
License Number
Licensing State / Country
Section 3: Registration Details
Networking Dinner – Rs. 4,000 (will be added if selected)
Yes
No
Workshops / Pre-Conference Sessions
Section 4: Accessibility/Accommodation Needs
Accessibility / Accommodation Needs
Section 5: Networking & Communications
Share Contact Info with Attendees
Yes
No
Receive Conference Updates
Yes
No
LinkedIn/ResearchGate/Google Scholar profile(s)
Section 6: Additional Information
How did you hear about this conference?
-- Select an option --
Social Media
Friend / Colleague
Email
Website
Advertisement
Other
Special Requests / Comments
Emergency Contact Name
Emergency Contact Phone
Submit Registration