Pathways to Peace in Africa:

Sponsored Participants Registration Form

Travel Information
Unpliable
- If you are based in Addis Ababa, Ethiopia Please check this box
City of Departure*
Return City*
Personal Information
Name*
First Last
Gender*
Job Title*
Field
Organization*
Country*
Passport size photo*
Max. file size: 10 MB.
The photo should capture full face, front view, with eyes open. The head should be in the centre of the frame. There should be no distracting shadows on the face or background.
Contact details
Email Address*
Alternative Email Address
Telephone
Passport Information
Full Name (as per passport)*
Nationality*
Passport No.*
Date of Issue*
MM slash DD slash YYYY
Date of Expiry*
MM slash DD slash YYYY
Date of Birth*
MM slash DD slash YYYY
Copy of Passport*
Max. file size: 10 MB.
Accepted file types: pdf, jpg, png
Special requirements
Dietary requirement (e.g. allergies, etc.)
Special needs (e.g. wheel chair access, etc.)