Africa Food Security Leadership Dialogue Registration

Africa Food Security Leadership Dialogue Registration

5 - 6 August 2019 | Kigali Convention Center | Rwanda
ATTENTION MEDIA: Please use the media application form

If you require any support throughout this process, kindly email delegate@africafoodsecurity.org or call +250 732 105 105.
Registration number*
CONTACT INFORMATION
Title*
First name*
Last name*
E-mail*
Mobile telephone*
Gender*
Date of birth*

DayMonthYear
ORGANIZATION
Organization name*
Organization category*
Industry type*
Job title*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Website
TRAVEL DETAILS
Date of arrival

DayMonthYear
Time of arrival

:HourMinutesAM/PM Option
Flight Number
Date of departure

DayMonthYear
Time of departure

:HourMinutesAM/PM Option
Flight Number
Kindly note that if you have not yet booked your flight you can still submit the registration, once you do have your travel details. Please send your travel details in an email along with your name, organisation and country to delegate@africafoodsecurity.org
IDENTIFICATION
Country of residence*
Citizenship*
Type of ID document*
ID document number*
Passport number or ID number
Upload picture*

Browse Files
PHOTOGRAPH REQUIREMENTS: Color photograph. It should have been taken within the last five years. should have a neutral background. Maximum file: 250kb. Format: jpg,png file. No hats, sunglasses, dark glasses, headphones, wireless hands-free devices or similar items, jewellery or garments of any sort that obstruct the view of the face. IF YOU DO NOT HAVE A PHOTO AT THIS MOMENT, PLEASE TAKE A PICTURE WITH YOUR PHONE AND UPLOAD THE PICTURE FOLLOWING THE ABOVE REQUIREMENTS. Cancelof
Additional Information:

Please note that once you have been accreditated, you will receive a link to book your accommodation. If you require any support throughout this process, kindly email delegate@africafoodsecurity.org or call +250 732 105 105.
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