Registration Form

Registration Form - Academia

WHSI 2026 Innovation Summit - Academia Participants

Please complete the form to register for the WHSI 2026 Innovation Summit as an Academia participant. This rate is reserved for individuals affiliated with academic institutions, research centers, or non-profit organizations.

Name *

Email address *

Institution / Organization Name *

Professional Title / Role *

Country *

Badge Name (optional)

Mobile Phone (optional)

Emergency Contact (just in case, optional)

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