Personal Information

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Full Name

Email Address

Phone or WhatsApp Number

Country of Residence

State, Province or Region

Time Zone

Webinar Interests

Which areas are you most interested in? *

AI for public health surveillanceEarly outbreak detectionDigital epidemiologyEvent-based surveillanceEpidemic and health intelligencePublic health forecasting and modellingGenomic surveillanceWastewater surveillanceHealth-data integrationResponsible and ethical AIData privacy and governanceAlgorithmic bias and health equityCommunity listening and risk communicationAI implementation in low-resource settingsPublic health workforce developmentEmergency preparedness and responseOther

Other Area of Interest

What do you hope to gain from the webinar? *

Which days do you expect to attend? *

Day One — August 27, 2026Day Two — August 28, 2026Day Three — August 29, 2026I plan to attend all three daysI am not yet certain

Question for a Speaker or Panelist

Referral and Institutional Participation

How did you hear about this webinar? *
Select oneGPHCB websiteGPHCB emailLinkedInFacebookInstagramWhatsAppYouTubeUniversity or educational institutionEmployer or professional organizationPublic health associationSpeaker, moderator or panelistFriend or colleagueOnline searchOther

Name of the Institution, Organization or Person Who Referred You

Are you registering as a representative of an institution or organization?

YesNo

Type of Institution or Organization
Select where applicableUniversity or collegeSchool of public healthGovernment ministry or agencyHospital or health systemLaboratory or research institutionProfessional associationNon-governmental organizationCommunity or civil-society organizationTechnology or data organizationDevelopment partner or funderOther

Estimated Number of Colleagues Who May Attend

Would your organization like approved webinar promotional materials?

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Institutional Contact Email

Interest in a Future Institutional Conversation with GPHCB
Select oneYes, please contact our institutionPossibly, after the webinarNo, this registration is for webinar participation only

Expressing institutional interest does not create a partnership,
sponsorship, endorsement or formal commitment.

Participation and Future Learning

Accessibility or Participation Support

Preferred Communication Method *

EmailWhatsApp

Would you like information about future GPHCB learning opportunities related to AI for Public Health Surveillance?

YesNoI may decide after the webinar

Which future opportunities interest you?

Short professional coursesCertificate programGraduate-level learning pathwayInstitutional trainingResearch and professional-development eventsPartnership or organizational collaborationI am not yet certain

Privacy, Communications and Recording

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I confirm that the information provided is accurate and may be used by GPHCB to administer my webinar registration, manage attendance and send essential webinar communications.

I have read and agree to the GPHCB Privacy Policy.

I understand that webinar sessions may be recorded and that my name, questions, voice or image may appear where I choose to participate publicly.

I would like to receive information about future GPHCB programs, webinars and professional-development opportunities.

I agree to receive approved webinar reminders through WhatsApp.

After registering, please check your Inbox, Spam, Junk or Promotions folder for your confirmation email. If it appears in Spam, open the email and click “Not Spam” or “Report Not Spam” so future webinar updates can reach your inbox.