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Presenter Information

Please use the below form to upload your presenter information.

AGES Presenter Form

Presenter Information Form for all AGES events and workshops.

Name*
Title First Last
Email
Phone*
Organisation*
Position
Presenter bio*
We kindly ask that you adhere to the maximum limit of 100 words as this will be used to assist the session chair in introducing you.
Presenter headshot
Please upload a high-resolution headshot (max size 64MB)
Max. file size: 64 MB.
Usage of content*
Without expectation of compensation or other remuneration, you provide consent to use your image and/or presentation or statements made in connection with the AGES Meeting, in its publications, virtual conference portal (if necessary), advertising or other print or electronic media activities including the Internet. This consent includes, but is not limited to: A) Permission to allow access to your presentation via the online virtual conference platform B) Permission to use your name, title and firm/organisation name
Speaker Code of Conduct*
I agree to the Speaker Code of Conduct
AGES Speaker Code of Conduct

1. Introduction
The Australasian Gynaecological Endoscopy Society (AGES) is committed to fostering an environment that promotes academic freedom, freedom of expression, and respectful discourse. This Speaker Code of Conduct outlines the rights, responsibilities, and expected behaviours of speakers at AGES conferences.

2. Speaker Rights and Responsibilities
Speakers have the right to express views and to seek, receive, and impart information and ideas of all kinds within the law, including those that may be considered offensive by some.

However, speakers are required to recognise that freedom of speech, thought, and expression come with responsibilities. When expressing ideas or planning activities where differing ideas are likely to be aired, speakers are required to consider the potential impact on individuals or groups within the AGES community who may be affected by the subject matter, either directly or indirectly.

3. Academic Freedom of Expression
AGES is committed to promoting academic freedom and freedom of speech within the law. Speakers are encouraged to engage in intellectual inquiry, express their opinions and beliefs, and contribute to public debate in relation to their subjects of study and research.

However, this freedom does not overrule a duty to protect any person from feeling offended or shocked or insulted by the lawful speech of another.

4. Expected Behaviours
Speakers are expected to adhere to the following behaviours:
1. Respect the rights and dignity of all participants.
2. Avoid any form of discrimination, harassment, or violence.
3. Refrain from making defamatory statements.
4. Ensure that their speech does not incite violence or break the law.
5. Lawful Behaviours
Speakers must ensure that their speech is lawful. This includes not engaging in speech that is likely to humiliate or intimidate other persons and is intended to have either or both of those effects. The content of the speech should not be unlawful or prejudice the fulfilment by AGES of its duty to foster the wellbeing of staff and attendees.

6. Consequences of Non-Compliance
Non-compliance with this Speaker Code of Conduct may result in the speaker being asked to leave the conference. In severe cases, the speaker may be barred from future AGES events.

7. Action
Speakers who believe that their speech could potentially contravene this code of conduct are strongly encouraged to contact the organising committee or a member of the AGES Board in advance of the meeting to discuss the relevant issues.

8. Conclusion
AGES is committed to fostering an environment that respects the rights and dignity of all participants. By adhering to this Speaker Code of Conduct, speakers can contribute to a respectful, inclusive, and productive conference.
Disclosure*
Declaration of financial relationships or commercial affiliations*
Please use the following list to declare your existing or known financial relationships or commercial affiliations. Check the in the appropriate box and indicate the name of the company in the box provided.
- Equity interests (or entitlement to same) of stocks, stock options, royalties, etc, including income from patents or copyrights.
- Service as a director or employment by a commercial organisation, whether or not remuneration is provided for such service
- Sole ownership, partnership or principal of a commercial enterprise
- Ownership of patent(s)
- Receipt of royalties
- Consultant to company including positions on medical or scientific advisory boards
- Honoraria for speaking at company sponsored meetings or events
- Participation in clinical trials
- Support in the form of fellowships, travel grants, gifts, in-kind donations, etc.
- Research grants, partial or full salary support from a commercial organisation for self or employees for whom you are managerially responsible (i.e laboratory technical/research fellow for whom you are managerially responsible)
- Any other type of financial or other relationship
Please indicate the name of the company and/or description of financial relationships or commercial affiliations below*
Signature*
Date*
MM slash DD slash YYYY
Confirmation Email*
Enter Email Confirm Email

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YRD Event Management
PO Box 717 Indooroopilly
QLD 4068 AUSTRALIA

P: +61 7 3368 2422
F: +61 7 3368 2433
ABN: 33 075 573 367

In the spirit of reconciliation, AGES acknowledges the Traditional Custodians of the country throughout Australia and their connections to land, sea, and community. AGES pays respect to their Elders past and present and extend that respect to all Aboriginal & Torres Strait Islander peoples today.

© 2025 Australasian Gynaecological Endoscopy & Surgery Society

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