HELTASA Conference Registration
20-23 November 2018
Nelson Mandela University, Summerstrand, Port Elizabeth
Personal Information
Please complete all required fields
Name *
This name will appear on your conference name tag
Your answer
Surname *
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Title *
Institution *
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Faculty/Department
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E-mail Address *
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Work Number
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Cellphone Number
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Dietary Requirements *
Please note that we only cater for health and religion related needs.
Required
Special Requirements
i.e Disability
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