ANNUAL GOOD PRACTICES WORKSHOP FOR QUALITY ASSURANCE PRACTITIONERS
20th – 22nd March 2019, Nairobi, Kenya

Registration Form

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1. Title/Titre (Required.)

Miss/Mlle

Mrs/Mme

Prof

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2. Surname/Nom (Required.)

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3. Other Names/Prénoms (Required.)

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4. Gender/Sexe (Required.)

Male/Masculin

Female/Féminin

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5. Position/Poste (Required.)

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6. Name of Institution/Nom de l’Institution (Required.)

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7. Address/Adresse

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8. City/Ville (Required.)

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9. Country/Pays (Required.)

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10. Telephone Number (with City Code where applicable)/No. de tel. (avec le préfixe s’il y lieu) (Required.)

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11. Email Address/Adresse email (Required.)

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12. What would you want to be emphasised during the workshop?

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13. What else would you want to be taught besides the content that is being covered?

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14. Select Participation type (Required.)

Participants from institutions in Kenya US$300

Participants from outside Kenya US$400

Registration fees should be paid in full by transferring the registration fee to the bank account number or Payments can be made on site / Les frais d'inscription doivent être payés intégralement par transfert au compte bancaire:

US DOLLAR ACCOUNT DETAILS
Account Name: ASSOCIATION OF AFRICAN UNIVERSITIES
Name of Bank:                           STANDARD CHARTERED BANK
   HIGH STREET BRANCH
   ACCRA-GHANA
Account Number:                       87002-024488-03
Swift Code: SCBLGHAC
US Correspondent bank: SCB New York

Swift Code:                         SCBLUS33
ABA#:                                 026002561

NAIRA ACCOUNT DETAILS
Account Name: CVC/AAU
Bank:   ACCESS BANK PLG
PPPRA BRANCH, ABUJA
PLOT 1012, CADASTRAL ZONE
CENTRAL BUSINESS DISTRICT, FCT ABUJA
NIGERIA
Account Number: 0730902405

USD ACCOUNT DETAILS
Account Name:   CVC/AAU
Bank:     ACCESS BANK PLG
PPPRA BRANCH, ABUJA
PLOT 1012, CADASTRAL ZONE
CENTRAL BUSINESS DISTRICT, FCT ABUJA
NIGERIA
Account Number: 0731023358

Question Title

15. How did you get to know of these workshops? (Select more than one avenue if it applies in your case) / Comment avez-vous eu connaissance de ces ateliers? (Sélectionnez plus d'une voie, le cas échéant) (Required.)

Newspaper Advertisement / Publicité sur les journaux

Direct Email / Courrier électronique direct

AAU Newsletter / Bulletin de l'AUA

Phone Call / Appel téléphonique

AAU Websites: aau.org or blog.aau.org / Sites Web de l'AUA: aau.org ou blog.aau.org

Social Media / Médias sociaux

Bulk SMS / SMS groupés

Word of Mouth / Bouche à oreille

Other (please specify) / Autre (veuillez préciser)

THANK YOU | MERCI

Question Title

* 1. Title/Titre (Required.)

Question Title

* 2. Surname/Nom (Required.)

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* 3. Other Names/Prénoms (Required.)

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* 4. Gender/Sexe (Required.)

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* 5. Position/Poste (Required.)

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* 6. Name of Institution/Nom de l’Institution (Required.)

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* 7. Address/Adresse

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* 8. City/Ville (Required.)

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* 9. Country/Pays (Required.)

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* 10. Telephone Number (with City Code where applicable)/No. de tel. (avec le préfixe s’il y lieu) (Required.)

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* 11. Email Address/Adresse email (Required.)

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* 12. What would you want to be emphasised during the workshop?

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* 13. What else would you want to be taught besides the content that is being covered?

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* 14. Select Participation type (Required.)

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* 15. How did you get to know of these workshops? (Select more than one avenue if it applies in your case) / Comment avez-vous eu connaissance de ces ateliers? (Sélectionnez plus d'une voie, le cas échéant) (Required.)

1. Title/Titre (Required.)

2. Surname/Nom (Required.)

3. Other Names/Prénoms (Required.)

4. Gender/Sexe (Required.)

5. Position/Poste (Required.)

6. Name of Institution/Nom de l’Institution (Required.)

7. Address/Adresse

8. City/Ville (Required.)

9. Country/Pays (Required.)

10. Telephone Number (with City Code where applicable)/No. de tel. (avec le préfixe s’il y lieu) (Required.)

11. Email Address/Adresse email (Required.)

12. What would you want to be emphasised during the workshop?

13. What else would you want to be taught besides the content that is being covered?

14. Select Participation type (Required.)

15. How did you get to know of these workshops? (Select more than one avenue if it applies in your case) / Comment avez-vous eu connaissance de ces ateliers? (Sélectionnez plus d'une voie, le cas échéant) (Required.)