Uganda Library and Information Association
XXIII SCECSAL Registration Form
Name:
Mr.
Ms.
Mrs.
Miss
Dr.
Prof.
Prefix
First Name
Middle Name
Last Name
Gender
Position
Organisation
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Address
Home, Work and Permanent
Contact
*
day contact
E-mail
Role at Conference (Please Select)
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Please enter the name you wish to appear on your
Tag
if different from name above
Name Badge
First Name
Last Name
Organisation/Company
Date
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Day
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Month
Year
Registration Date
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01
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23
:
Hour
00
05
10
15
20
25
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35
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45
50
55
Minutes
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