Skip to content
COREVIP 2019 Participants Registration
Conference of Rectors, Vice Chancellors and Presidents of African Universities (COREVIP)
Al-Azhar University, Cairo, Egypt
8-11 July 2019
OK
*
1.
Surname
(Required.)
*
2.
First Name
(Required.)
*
3.
Title
(Required.)
Dr
Miss
Mrs
Ms
Mr
Prof
*
4.
Nationality
(Required.)
*
5.
Gender
(Required.)
Female
Male
Prefer not to say
*
6.
Name of organisation
(Required.)
*
7.
Position / Job Title
(Required.)
*
8.
Is your institution a member of the AAU?
(Required.)
No
Yes
I do not know
*
9.
Mobile telephone
(Required.)
*
10.
Email1
(Required.)
*
11.
Email2
(Required.)
*
12.
How are you funding your participation?
(Required.)
I am sponsored
I am self funded
I am not sure yet
13.
If sponsored who is your sponsor
*
14.
How will you pay your registration fees?
(Required.)
In advance to AAU by Bank Transfer
On Arrival in Egypt
Other means
*
15.
Are you a speaker at COREVIP 2019?
(Required.)
No
Yes
*
16.
Have you submitted a conference abstract?
(Required.)
No
Yes
*
17.
Do you intend to submit a conference abstract?
(Required.)
No
Yes
*
18.
Have you attended the previous AAU organized COREVIP events?
(Required.)
No
Yes
19.
In which years did you previously participate in the AAU organized COREVIP events?
*
20.
Country of departure
(Required.)
*
21.
City of departure
(Required.)
*
22.
Do you need a visa to Egypt?
(Required.)
No
Yes
*
23.
Do you need an invitation letter from the host institution?
(Required.)
No
Yes
24.
Please upload a copy of your passport
(file type must be PDF, Word, JPG, JPEG, GIF or PNG)
Choose File
No file chosen
25.
Passport Number
26.
Date of Passport Expiry
*
27.
Do you need assistance with booking accommodation in Egypt?
(Required.)
No
Yes
*
28.
Date of arrival in Egypt
(Required.)
29.
Time of flight arrival
30.
Arrival flight number
*
31.
Date of departure from Egypt
(Required.)
32.
List any Dietary Requirements
33.
List any other special needs
Current Progress,
0 of 33 answered