AfPS Nigeria 2018 Main Symposium
By completing this form, you hereby indicate your interest to attend the 7th African Pharmaceutical Symposium (AfPS) holding in Nigeria in June 2018. No payment is required to complete the registration but payment must be completed to attend the event. A "How To Pay" document will be sent to you shortly after registration. Go Africa! #Feel the 9ja Spirit!
Email address *
Full name (surname first) *
Gender *
Nationality (eg Nigerian) *
Country of Residence *
Date of birth *
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Passport Number (International Delegates)
Expiration Date of Passport
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Are you a student or young professional? *
Institution (e.g. University of Port Harcourt, Nigeria)
Country Association *
Indicate your country association (e.g. PANS, Nigeria)
Phone Number (e.g. +2348012345678) *
Enter your WhatsApp phone number (in international format)
Have you attended an AfPS previously? *
What are your expectations for AfPS 2018? *
Any food allergies? If yes, specify
Any physical disabilities? If Yes, specify
Any preferred roommates? *
Required
Names of preferred roommates (2)
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