Copy of General Assembly Registration

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5th ATAF GENERAL ASSEMBLY & CONFERENCE

22 - 26 OCTOBER 2018

GABORONE, BOTSWANA

General Assembly Registration

Title:

Last Name (as in passport):

First Name (as in passport):

Preferred Name on tag:

Email Address:

Alternative Email Address:

Mobile Number :

Office Number:

Organisation:

Job Title :

Country of residence:

Nationality:

City of departure:

Passport Number:

Country of Issue of the passport:

Expiry Date of Passport:

Do you have a disability:

Yes

No

Dietary Requirements:

Do you require a VISA letter?:

Yes

No

Hotel Name:

Avani Gaborone Resort & Casino

Peermont Mondior Gaborone

Indaba Lodge Gaborone

Other

Arrival Date:

Arrival Time:

Airline:

Flight #:

Departure Date:

Departure Time:

Airline:

Flight #:

T Shirt Size:

Please note the description for F and M:

F - Female M - Male

Would you like to attend the Botswana Cultural Excursion?

26 October 2018

Yes

No

Upload passport copy:

Upload File

t-shirt-size-2

Thank you for registering for the GA.

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