REGISTRATION FORM

 

Surname

Question Title

* 1. Surname

Other Names

Question Title

* 2. Other Names

Gender

Question Title

* 3. Gender

Title

Question Title

* 4. Title

Position at your institution

Question Title

* 5. Position at your institution

Name of Institution

Question Title

* 6. Name of Institution

City

Question Title

* 7. City

Country

Question Title

* 8. Country

Telephone Number (with City Code where applicable)

Question Title

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

Email Address

Question Title

* 10. Email Address

I will pay my registration fees in this way

Question Title

* 11. I will pay my registration fees in this way

Special dietary requirements

Question Title

* 12. Special dietary requirements

Will you require transport to and from the airport?

Question Title

* 13. Will you require transport to and from the airport?

If you will require transport from the airport please indicate date and time of arrival and departure flights

Question Title

* 14. If you will require transport from the airport please indicate date and time of arrival and departure flights

Registration fees should be paid in full by transferring the registration fee ($500) to the AAU’s bank account no:

Account Name: ASSOCIATION OF AFRICAN UNIVERSITIES
Name of Bank: STANDARD CHARTERED BANK
HIGH STREET BRANCH
ACCRA-GHANA
Account Number: 87002-024488-01
Swift Code: SCBLGHAC 
US Correspondent bank: SCB New York
Swift Code: SCBLUS33
ABA#: 026002561

Please send proof of payment to Mrs. Yvette Quashie. Email address: yaquashie@aau.org

THANK YOU

T