DATE: 25 - 29 JULY 2022    VENUE: ZANZIBAR, TANZANIA

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1. Please indicate your organization. (Required.)

SECTION A: PERSONAL INFORMATION

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2. Surname (Required.)

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3. First Name (Required.)

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4. Title (Required.)

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5. Position / Role at your institution (Required.)

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6. Name of your institution (Required.)

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7. Business Address

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8. City (Required.)

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9. Country (Required.)

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10. Mobile Number (Required.)

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11. Email 1 (Required.)

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12. Email 2

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13. In point form, what have you done in your institution in relation to the symposium title? (This helps us to know what to concentrate on during the course)

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14. What areas do you want to be emphasized on during the symposium?

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15. What else do you want to learn in relation to the symposium title?

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16. Are you prepared to pay the stated fees (i) US$590 for AAU Members in good standing ii) US$650 for all other participants?  This excludes travel, accommodation and upkeep? We will provide lunches, teas, water, certificates & workshop materials.  (Required.)

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17. How are you funding your participation fees? (Required.)

THANK YOU

T