Registration Form
Thank you for your interest in the 3rd Pan African Youth Conference on African Unity and Development and the Annual General Assembly Meeting of the African Youth Commission (AYC), taking place from 23-26 March 2019 in Banjul, The Gambia under the theme: ‘The Future Is Now; Youth are Not Too Young to Lead’.

The Conference is co-organised by The Gambia National Youth Council and the AYC Secretariat in partnership with Government of The Gambia, UN System in The Gambia, Kanifing Municipal Council, The Gambia Chamber of Commerce and Industry and Child Fund International The Gambia.

Dates:
- Arrival: 23 March 2019.
- Pan African Youth Conference: 24 & 25 March 2019.
- AYC GA: 26 March 2019.
- Departure: 27 March 2019.

To register your interest in attending the Conference and the Annual General Assembly Meeting please complete the form below.

Please ensure you fill out your details as they appear on your passport. This information will be used exclusively for the purpose of conference invitation letter, and where necessary for visa and accommodation assistance. Once you have submitted this form, you will be contacted by the conference organisers.

For any enquiries or technical questions regarding the registration process or should you have any questions about the Conference and General Assembly, please contact the AYC Secretariat at ayc@auyc.org or WhatsApp +220 9865300.

DEADLINE FOR REGISTRATION: MARCH 10th, 2019.

For more information, please visit: http://africanyouthcommission.org/

Email address *
Registration Information
Full Name (As it appears on your passport) *
Gender *
Date of Birth *
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Nationality *
Name of your Organisation/Affiliation *
Your Position *
Your Address *
Your Phone Number (Include WhatsApp number if Any) *
Are you, or your Organisation a Member of AYC? *
Statement of Motivation
Your Interest *
In not more than 500 words, please describe why you are interested in attending the Pan African Youth Conference or the AYC Annual General Assembly Meeting:
Have you participated in previous Pan African Youth Conferences or AYC GA? If so, please state which one you attended:
Personal Details if Visa or Accommodation is required
Will you require a visa to attend the Conference? *
Intended Date of Arrival *
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What city/airport will you be departing from? *
What city/airport will you be arriving back to? *
Intended Date of Departure *
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Passport Number *
Passport Issue Date *
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Passport Expiry Date *
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Upload your passport copy scanned *
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Conference
You will attend the Conference as? *
You will participate in the session? *
You will participate in Thematic session? *
Funding
Have you secured funding for Travel and Accommodation? *
Health, Food Or Special Access requirements
Do you have any Health complications, Dietary restrictions/Special needs that you would like us to Know? If YES, please state below
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