REGISTRATION FORM

12th Africa Forum 2008
Making Agri-business Work for Rural Livelihoods
29 September to 3 October 2008 in Addis Ababa, Ethiopia

Please respect the registration deadline: 10 September 2008		      


Online Participant Application Form

Please supply the following details:
NOTE: fields marked with (*) are compulsory fields.

Title:
First Name(*):
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City (*):
Country (*):
Country Team Member: Yes      No
Name of Sponsoring Agency (*):
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In case of GTZ project PN Number:
Citizenship (*):
Passport No (*):
Arrival Date (dd/mm/yy) (*):      
Arrival Flight No:
Departure Date (dd/mm/yy) (*):      
Departure Flight No: