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RAPN Conference Registration Form

Please enter your details below, select a Registration type (Physical Attendance or Virtual Attendance) and Make payment, to register for the Africa Food Regulatory & Quality Assurance Conference

Personal Details:

Name:

*

Title:

*

Institution:

*

Email:

*

Phone:

*

Registration Type:

*

Payment Method

A

Card payment (Visa Card / Mastercard / Verve Card)

*

B

Mobile Money (All networks)

Additional Information:

Dietary Restrictions:

Special Requests:

Declaration

I hereby declare that the information provided is accurate and true. I understand that registration fees are non-refundable.

Signature

*

Sign in the area above

Date

*

Total Amount =