Request edit access
Galaxy Africa 2018 Registration Form
Please complete this form to register for Galaxy Africa 2018 ( Please note that if you are not covered by a travel fellowship you also need to pay for the conference at Quicket: . For all enquiries contact
Email address *
First Names *
Your answer
Surname *
Your answer
Institution *
Your answer
Your answer
Country *
Your answer
Invitation Letter Required *
Student *
Job Title (enter None if Student) *
Your answer
Level of Study (if Student) *
Invoice Required *
Supervisor Email Address (if Invoice Required)
Your answer
Supervisor Title (if Invoice Required)
Your answer
Supervisor Full Name (if Invoice Required)
Your answer
Physical Address (for delivery of attendance certificate)
Your answer
Applying for travel fellowship *
Fellowship Application
Please complete this section if you wish to apply for a travel fellowship. Numbers of fellowships are strictly limited. Please motivate why you require a travel fellowship, why you believe you qualify and please specify details of current studies or work that involves bioinformatics. Application for fellowship does not guarantee that you will receive one.
Your answer
T-shirt size *
Dietary Requirements *
Never submit passwords through Google Forms.
This form was created inside of SANBI. Report Abuse - Terms of Service