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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Next
Address
Home, Work and Permanent
Contact
*
day contact
E-mail
Role at Conference (Please Select)
Back
Next
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
-
Day
-
Month
Year
Registration Date
at
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
:
Hour
00
05
10
15
20
25
30
35
40
45
50
55
Minutes
Select Registration Type
Submit
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