First International UHS Alumni Conference 2026

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

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

Experience

License Number

Licensing State / Country

Section 3: Registration Details

Networking Dinner

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?

Special Requests / Comments

Emergency Contact Name

Emergency Contact Phone