Training Workshop on University-Industry Linkages
University of Ilorin, Ilorin, Nigeria

10th to 12th May, 2016

REGISTRATION FORM

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1. Surname

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2. Other Names

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3. Title

Miss

Mrs

Prof

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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. Registration Fee:

US $700 will be paid before 13th April, 2016

US $800 will be paid on arrival in Ilorin

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13. Will you need assistance with transport?

Yes

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14. Accommodation at Kwara Hotel

Standard Deluxe: US $125 -145

Junior Suite: US $160

Executive Suite: US $225

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15. Arrival Schedule

Arrival Date

Departure Date

Number of Nights

THANK YOU

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* 1. Surname

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* 2. Other Names

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* 3. Title

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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. Registration Fee:

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* 13. Will you need assistance with transport?

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* 14. Accommodation at Kwara Hotel

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* 15. Arrival Schedule

1. Surname

2. Other Names

3. Title

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. Registration Fee:

13. Will you need assistance with transport?

14. Accommodation at Kwara Hotel

15. Arrival Schedule