ICML +AHILA 2022

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PLEASE ENTER NAME AND INFORMATION EXACTLY AS THEY APPEAR ON YOUR ID/PASSPORT.

Surname/Last Name^*
First Name^*
Passport/ ID number
Country^*

PLEASE ENTER YOUR OFFICIAL/WORK CONTACT INFORMATION BELOW.

Name of Employer/ Affiliation
Current Position/ Professional
Title
Office Address

Address Line 1

Address Line 2

City

Primary Email Address^*
Primary Phone Number^*

PLEASE SELECT THE APPLICABLE TYPE OF REGISTRATION

Registration Type^*
Accompanying Person's Details

First Name
Last Name
Country
Email address
Phone number
Registration Type (For accompanying person)

Sponsor a Delegate (Optional)

Sponsor a Delegate
I would like to sponsor a delegate attending ICML+AHILA congress for the first time (early career library professionals from developing countries selected by the ICML+AHILA Programme Committee)
Sponsored Person's Full Name
Registration Type (For sponsored delegate)
Please remember to add the amount for the sponsored delegate when making payment for your registration.

*Payment for early registration is due before 31 December 2021

*Payment for late registrations should be done by the 14th of March 2022.
*email copy student ID to amanda@itoca.org for student registrations.
*all AHILA members to send proof of membership to chiedza@itoca.org

* If you want a quotation and/ invitation letter, please reach out to Amanda: amanda@itoca.org

Payments can be done via bank deposits/ wire transfer/ Card/ Online payment.

For South Africa based delegate's (ZAR/RAND), please use the following account:

Bank Name: First National Bank (FNB)

Account Name: ITOCA - Info Training & Outreach Centre for Africa

Account number: 62139790671

Branch Name and Address: Centurion, South Africa

Branch Code: 261550

Reference: Full Delegate Name

For International delegates (US Dollars), please use the following account:

Bank Name: First National Bank (FNB)
Account Name: ITOCA- Info Training & Outreach Centre for Africa
Account number: 62683040548
Bank branch code: 250149
Branch Address: FNB Forex, Business Banking, 30 Diagonal Street, FNB Place, 9th Floor, Pretoria, South Africa
Swift code: FIRNZAJJ

Reference: Full Delegate Name

For Card/ Online payments please click the pay now link below;

*Please note that only VISA cards and Master cards are acceptable

*To share proof of payment please send to amanda@itoca.org

Cancellation Policy: Requests for conference registration cancellation must be received in writing by mail by 30 January 2022. The conference registration fee will be refunded after the conference less 25% administration costs, this is applicable for cancellations done before 30 January 2022. Requests received after 30 January 2022 will not be processed or refunded. "No shows" are non-refundable and are liable for the full registration. If you cannot attend, you may send a substitute person. The original registrant must submit a written authorization for such a change.

ii) Proof of payment made by bank deposits or wire transfer must be sent to the Conference Registration Coordinator to enable her to keep track of the transactions.

iii) The same names used on this registration form must appear on the proof of payment.

iv) All registration fees paid on-site will be in South African Rand.

v) Payment for all registrations should be done by the 8th of March 2022.

I agree^*
I acknowledge that I commit myself to the payment of the applicable full conference fee. I have taken notice of the cancellation terms on this form
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