2ND IASSIST-AFRICA WORKSHOP 2022- Registration Form

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Date: 4th-7th, October 2022
Venue: Conference Center (Opposite Chapel of Resurrection), University of Ibadan, Nigeria

PAYMENT DETAILS
Bank Name: First Bank PLC
Account Name: Nigeria Library Association (PACS)
Account Number: 2033365600
Branch: UI Branch

Swift: ABA routing number

Swift Code: FBN INGLA

Please, send proof of payment to iassistwestafrica1@gmail.com and copy secretariat@iassistafrica.org

Email *

First Name *

Last Name *

Title *

Mrs

Miss

Prof

Gender *

Male

Female

Prefer not to say

Do you require disability access? *

Yes

Any special dietary requirements? *

Vegetarian

Gluten-free

None

Country *

Visa required *

Yes

Phone number *

Name of Organization *

Position in your organization *

Early bird registration. Select the registration type/category. *

Physical- $100

Physical - NGN35,000 (Naira option)

Student - $20

Student - NGN 10,000 (Naira option)

Virtual - $50

Virtual - NGN10,000 (Naira option)

Fellow

Late registration. Select the registration category. *

Physical - $150

Physical - NGN35,000 (Naira option)

Student - $50

Student - NGN 15,000

Virtual - $75

Virtual - NGN20,000

Fellow

Agreement to the registration terms
*

I understand that by responding to this registration, the organisers could contact me on matters related to this event or IASSIST *

Yes

Required

A copy of your responses will be emailed to the address you provided.

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