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

REGISTRATION FORM

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1. Title (Required.)

Miss

Mrs

Prof

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2. Surname (Required.)

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3. Other Names (Required.)

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4. Position

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5. Name of Institution (Required.)

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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) (Required.)

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10. Fax Number

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11. Email Address (Required.)

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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)
(Required.)

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 (Required.)

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* 2. Surname (Required.)

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* 3. Other Names (Required.)

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* 4. Position

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* 5. Name of Institution (Required.)

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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) (Required.)

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* 10. Fax Number

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* 11. Email Address (Required.)

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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) (Required.)

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* 14. HILL VIEW HOTELPlease select your choice room type

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* 15. Accommodation

1. Title (Required.)

2. Surname (Required.)

3. Other Names (Required.)

4. Position

5. Name of Institution (Required.)

6. Address

7. City

8. Country

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

10. Fax Number

11. Email Address (Required.)

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

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

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

14. HILL VIEW HOTEL

Please select your choice room type

15. Accommodation