LEADERSHIP DEVELOPMENT WORKSHOP (LEDEV) Kigali, Rwanda 26 – 30 June, 2017

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:
* Registration waivers for female Vice Chancellors

* Half waivers for females in leadership positions in their universities (Deans and Directors of Institutions)

US $700 will be paid before 7th June, 2017

US $800 will be paid on arrival in Kigali, Rwanda

I am a female participant and entitled to:

Full Registration Waiver for Vice Chancellors

Half Waiver for Deans and Directors of Institutes

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* 14. HILL VIEW HOTEL

Please select your choice room type

Single Room USD 80

Double Room USD 110

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* 15. Accommodation

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:* Registration waivers for female Vice Chancellors * Half waivers for females in leadership positions in their universities (Deans and Directors of Institutions)

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* 14. HILL VIEW HOTELPlease select your choice room type

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* 15. Accommodation

* 13. Registration Fee:
* Registration waivers for female Vice Chancellors

* Half waivers for females in leadership positions in their universities (Deans and Directors of Institutions)

* 14. HILL VIEW HOTEL

Please select your choice room type