19th WaterNet/WARFSA/GWPSA Symposium
Symposium Registration Form
Title *
Surname *
Your answer
Middle Name *
Your answer
First Name *
Your answer
Preferred Name on Badge *
Your answer
Sex *
Age Group *
Type of Organisation *
Full Postal Address *
Your answer
City *
Your answer
Country *
Your answer
Telephone Numbers
Your answer
Email Address/es *
Your answer
Anticipated Role
Title of Accepted Abstract (If presenting)?
Your answer
Specify which sessions you can Chair
Specify which sessions you can Rapporteur
Specify which sessions you can Adjudicate
Registration Fees *
Funding
Payment Details
Payment details for International Participants

Bank Name: Stanbic Bank Botswana Limited
Branch: Fairgrounds
Branch Code: 064967
Account Name: WaterNet Trust
Account Number: 9060002591915
Swift Code: SBICBWGX
Account Type: USD
Bank Postal Address: Stanbic House, Plot 50672, Old Machel Drive
Fairgrounds, Gaborone, Botswana

Kindly request for an invoice from symposium19@waternetonline.org; waternetonline@gmail.com or generate an individual invoice from http://www.waternetonline.org/annual-symposium/registration

Payment details for local (Zambia) Participants

Zambian Kwacha Account

Bank Name: Barclays Bank of Zambia Plc
Account Name UNZA (School of Engineering)
Account Number: 1471461
Brach Code: 016
Branch Name: Lusaka Barclays Business Centre
Swift Code: BARCZMLX
Sort Code: 02-00-16

Payment details for local (Zambia) Participants United States Dollar Account

Bank Name: Barclays Bank of Zambia Plc
Account Name: UNZA (School of Engineering)
Account Number: 10445561
Brach Code: 001
Branch Name: Head Office
Branch Code: BARCZMLX
Sort Code: 02-00-01

Kindly request for an invoice from symp19loc@unza.zm
or generate an individual invoice from http://www.waternetonline.org/annual-symposium/registration


Questions
If you have and questions about your registration or the Symposium, kindly write to waternetsymposium18@gmail.com or waternetonline@gmail.com or symposium18@waternetonline.org
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service