INVITATION to a CONFERENCE on HUMAN RESOURCES for KNOWLEDGE Production in SOUTH AFRICA
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REGISTRATION FORM Invitation to the Sanitation innovation and industrialisation: Business Breakfast Date: 16 September 2016 Venue : Innovation Hub, Pretoria Time: 08:00 – 12:00
Final date for submission 10 September 2016
Particulars of registration applicant, one form per person
1 Surname Title First Name Preferred Name Institution Designation
Mailing Address City Code Country Please add area Telephone codes to numbers Fax Mobile e-mail
DST Science seminar attendance 2 Mark with X
16 September Yes No
Dietary requirements 3 Diabetic Halaal Kosher Vegetarian Other – please specify:
By signing this form, I accept the Cancellation Policy, and Disclaimer.
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Signature Date
CANCELLATION POLICY Notification of cancellation must be sent to the organisers in writing before 12 September 2016.
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REGISTRATION APPLICATION FORM Please type personal information for registration submission by e-mail and send to Ms Carolina ROscigno, E-mail [email protected], Postal Address: Room 1338, Human Sciences Research Council, Private bag x41, Pretoria 0001
If no response has been received within 4 working days from date of registration submission, please enquire at Telephone: +27 (0) 12 302 2341
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