2018 University Industry Linkages Workshops - Ethiopia

University-Industry Linkages for African Universities | 6 – 8 Feb, 2018 | Ghion Hotel, Addis Ababa

Workshop Registration fee of US $500 covers group lunch and conference materials

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1. Title/Titre (Required.)

Miss/Mlle

Mrs/Mdme

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/Non 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.)

Registration fees should be paid in full by transferring the registration fee to the AAU’s bank account no / Les frais d'inscription doivent être payés intégralement par transfert au compte bancaire de l'AUA:

Account Name: ASSOCIATION OF AFRICAN UNIVERSITIES
Name of Bank: STANDARD CHARTERED BANK
HIGH STREET BRANCH
ACCRA-GHANA
Account Number: 87002-024488-01
Swift Code: SCBLGHAC
US Correspondent bank: SCB New York
Swift Code: SCBLUS33
ABA#: 026002561

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12. 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.)

Question Title

* 3. Other Names/Prénoms (Required.)

Question Title

* 4. Gender/Sexe (Required.)

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* 5. Position/Poste (Required.)

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* 6. Name of Institution/Non 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.)

Question Title

* 12. 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/Non 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. 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.)