HIVAIDS/ ASRH Committee Information Form

Welcome to the Committee Information online form for the Australasian HIV&AIDS Conference (15 - 17 September 2025) joint with the Australasian Sexual and Reproductive Health Conference (16 - 18 September 2025) at the Adelaide Convention and Exhibition Centre, Tarndanya (Adelaide) on Kaurna Country, Australia.

Please fill in the below details. This information will help us ensure we have the correct details to best contact you as well as include your most up to date affiliation, bio and headshot within our website / marketing material. If any pre-filled information below is not your own, please stop and contact mikayla.mason@ashm.org.au immediately.

Similarly if you have any questions or troubles, please contact Mikayla.

Contact Details

First Name

Last Name

Preferred First Name

Preferred Last Name

Title

Organisation

Position

Email Address

Sometimes our automated emails are blocked by firewalls; please enter an alternate non-work email address (such as a Gmail or Hotmail address) to ensure you receive communications regarding the conference.

Additional Emails

Please include the area code below (e.g +61 )

Mobile number

Office number

Primary Address

Address City

Address State

Address Country

Marketing Material

Headshot

Contact Bio

Committee TOR Agreement

Please upload a signed PDF of the Committee TOR Agreement that was provided to you over email. Alternatively, you may download a copy below:

Committee TOR Agreement

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Data Processing Consent

Committee Information Form

Contact Details

Primary Address

Marketing Material

Committee TOR Agreement

Thank You! We look forward to working with you!

Data Processing Consent

Committee Information Form

Contact Details

Primary Address

Marketing Material

Committee TOR Agreement

Thank You! We look forward to working with you!

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