Registration form

Title
MrMissMrsDrProfHonEng

Last Name, First Name & Middle Initial

Professional Designations

Institution / Company

Mailing Address

City/ town

Country:
AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamas, TheBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurmaBurundiCambodiaCameroonCanadaCabo VerdeCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCote d'IvoireCroatiaCubaCuracaoCyprusCzechiaDenmarkDjiboutiDominicaDominican RepublicEast Timor (see Timor-Leste)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorth KoreaNorwayOmanPakistanPalauPalestinian TerritoriesPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited State of AmericaUruguayUzbekistanVanuatuVenezuelaVietnamYemenZambiaZimbabwe

Phone:

Email Address

Re-enter Email

Type of Profession
IndustrialistResearcherPractitionerTeaching / AcademiaOther

Meeting Information
YesNo

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

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?
YesNo
Please ignore if you chose NO

Registration Fees......................Author (October 11, 2019)(Deemed registered only when full registration fees is paid. There will be NO on-site registration for authors)
Non-African Passport Holders .....US$200Ghanaian Passport Holders (non-students).....US$120Other African Passport Holders (non-students) .....US$200Non-presenting students (ID required) .....US$100Presenting students less than 30 years (ID required).....FREEPresenting students – 30 years & above (ID required)........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)

Cancellation
No refunds on cancellations from October 11, 2019