Registration form

CC-POP GHANA 2019: Online Registration Form

12 – 14 November 2019

University of Ghana
Accra, Ghana
Phone: +233 (0) 547 836 283



Last Name

Professional Designations

Institution / Company

Mailing Address

City/ town



Type of Profession
IndustrialistResearcherPractitionerTeaching / AcademiaOther

Meeting Information

Moderation - Would You Like to Moderate or Chair a Session?

Area of Expertise (Please tick all that apply)
PolicyIndustrySocial ScienceBiophysical Science InterdisciplinaryOther (specify)

Membership of Professional Bodies
Are You a Member of a Professional Society? If Yes Which?
Please ignore if you chose NO

US$1.00 = GHC 5.26

Registration Fees......................Early (April 15 – June 14, 2019).....Regular (June 15, – July 14 2019)
Non-African Passport Holders .....(Early / US$150).....(Regular / US$200)African Passport Holders (non-students) .....(Early / US$100).....(Regular / US$200)Non-presenting students (ID required) .....(Early / US$80).....(Regular / US$100)Presenting students less than 30 years (ID required).....(Early / FREE).....(Regular / FREE)Presenting students – 30 years & above (ID required).....(Early / US$50).....(Regular / US$80)

Carbon Offset Fee(Optional) = GH¢30 (Your travel to this meeting has resulted in the emission of Greenhouse Gases from Transport and other Consumptive Activities such as Food and use of Electricity so we want you to be Part of a project that reduces Emissions)Donations to Enable Less Privileged Participants from the South to Attend. You will be contacted

Payment Method
Kindly scan and upload proof of payment
Bank TransferElectronic/ Online (Visa Card Only)Wire Transfer (Western Union / GT Bank Money Transfer / MPESSA / TIGO Cash)Other

Upload Proof of Payment Here if Applicable (File types: pdf, png,jpg and jpeg)

Upload Proof of National ID with D.O.B. Here if Applicable - e.g. free registration / students (File types: pdf, png,jpg and jpeg)

No refunds on cancellations from August 9, 2019