LEADERSHIP DEVELOPMENT WORKSHOP (LEDEV)

Accra, Ghana

24 - 28 October, 2016

REGISTRATION FORM

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1. Title

Miss

Mrs

Prof

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2. Surname

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3. Other Names

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4. Position

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5. Name of Institution

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6. Address

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7. City

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8. Country

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9. Telephone Number (with City Code where applicable)

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10. Fax Number

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11. Email Address

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12. My choice three theme(s) are (tick):

University Advancement through Resource Mobilisation and Allocation

Leadership and Governance of African Universities

Strategic Planning in African Universities

Quality Assurance

Facilitating University-Industry Linkages

ICT and Research and Education Networking

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13. Registration Fee:

US $600 will be paid before 12th October, 2016

US $700 will be paid on arrival in Accra, Ghana

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14. Accommodation

Please reserve accommodation for me at Airside Hotel:
Negotiated Rate for Standard Room = US$100 per night

Number of Nights

THANK YOU

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* 1. Title

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* 2. Surname

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* 3. Other Names

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* 4. Position

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* 5. Name of Institution

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* 6. Address

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* 7. City

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* 8. Country

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* 9. Telephone Number (with City Code where applicable)

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* 10. Fax Number

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* 11. Email Address

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* 12. My choice three theme(s) are (tick):

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* 13. Registration Fee:

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* 14. AccommodationPlease reserve accommodation for me at Airside Hotel:Negotiated Rate for Standard Room = US$100 per night

1. Title

2. Surname

3. Other Names

4. Position

5. Name of Institution

6. Address

7. City

8. Country

9. Telephone Number (with City Code where applicable)

10. Fax Number

11. Email Address

12. My choice three theme(s) are (tick):

13. Registration Fee:

14. Accommodation

Please reserve accommodation for me at Airside Hotel:
Negotiated Rate for Standard Room = US$100 per night