Training & Event Registration
I thank you for registering to the training and/ or the event.
I am looking forward to meeting with you. Regards, Your customer Consultant - Geneviève Musasa
1. In which country will the event take place? *
Your answer
2. In which institution will the event take place? *
Your answer
3. What is the date and the time of the event that will you attend? *
MM
/
DD
/
YYYY
Time
:
4. What is your first name? *
Your answer
5. What is your last name? *
Your answer
6. What is your email address? *
Your answer
7. What is the name of your institution? *
Your answer
8. In which department are you? *
Your answer
9. What is your position? *
Your answer
10. If relevant: in which campus will take place the event? *
Your answer
11. Optional: What is your phone number?
Your answer
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