Conference of Rectors, Vice Chancellors and Presidents of African Universities (COREVIP)

Al-Azhar University, Cairo, Egypt

8-11 July 2019

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* 1. Surname

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* 2. First Name

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* 3. Title

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* 4. Nationality

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* 5. Gender

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* 6. Name of organisation

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* 7. Position / Job Title

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* 8. Is your institution a member of the AAU?

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* 9. Mobile telephone

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* 10. Email1

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* 11. Email2

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* 12. How are you funding your participation?

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* 13. If sponsored who is your sponsor

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* 14. How will you pay your registration fees?

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* 15. Are you a speaker at COREVIP 2019?

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* 16. Have you submitted a conference abstract?

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* 17. Do you intend to submit a conference abstract?

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* 18. Have you attended the previous AAU organized COREVIP events?

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* 19. In which years did you previously participate in the AAU organized COREVIP events?

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* 20. Country of departure

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* 21. City of departure

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* 22. Do you need a visa to Egypt?

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* 23. Do you need an invitation letter from the host institution?

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* 24. Please upload a copy of your passport 

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
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* 25. Passport Number

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* 26. Date of Passport Expiry

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* 27. Do you need assistance with booking accommodation in Egypt?

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* 28. Date of arrival in Egypt

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* 29. Time of flight arrival

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* 30. Arrival flight number

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* 31. Date of departure from Egypt

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* 32. List any Dietary Requirements

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* 33. List any other special needs

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