Africa in an Evolving Global Order

Partially-Sponsored Participants Registration Form

Travel Information
Where will you be traveling from?*
- Domestic
- International
City of Departure*
Return City*
Tentative flight itinerary (International)
Date: Anticipated arrival in Addis Ababa*
MM slash DD slash YYYY
Time: Anticipated arrival in Addis Ababa*

: Hours

Minutes
Date: Anticipated Departure from Addis Ababa*
MM slash DD slash YYYY
Time: Anticipated Departure from Addis Ababa*

: Hours

Minutes
Accommodation details in Addis Ababa
Hotel reserved in Addis Ababa*
Tentative flight itinerary (Domestic)
Date: Anticipated arrival in Bahir Dar*
MM slash DD slash YYYY
Time: Anticipated arrival in Bahir Dar*

: Hours

Minutes
Date: Anticipated Departure from Bahir Dar*
MM slash DD slash YYYY
Time: Anticipated Departure from Bahir Dar*

: Hours

Minutes
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.)