Speaker Registration

Disclaimer: For Speakers visiting from outside of the USA, please arrange for the adequate health insurance for the duration of their stay in the United States.

2023 JAINA Convention - Speaker Information

Thank you very much for accepting JAINA’s invitation to speak at our virtual convention from 30th June – 3rd July, 2023. We kindly request you to fill out the form below. If you do know all of the details of your speech at this time, you can visit this form and update the information at a later date. For any support for this form please contact JAINA Support on +91 989-886-3554 | +1 862-955-5783

Personal Information

Note: Upload file size < 500KB and allowed image extensions(JPEG, PNG, JPG)

Speech Information

Health: Physical, Mental, & Emotion

Food Information