Conference Registration

Conference Registration Form

Title Title

First Name

Middle Name

Last Name

Email Address

Phone Number

Please indicate the professional body you are associated with

Please indicate where you will be attending the conference from

Please indicate the professional body you are associated with(other)

Please indicate your affiliated College/Unit

Name of Affiliated Institution

Please indicate your affiliated College/Unit(other)

Name of Affiliated Institution(other)

Faculty

Department

Student ID Number

National Service Number

Select the pre-conference workshop you want to attend

If you are human, leave this field blank.