ICML +AHILA 2022

RM_Stats

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 ^*

State or Region ^*

Country ^*

Zip

Primary Email Address^*
Primary Phone Number^*

PLEASE SELECT THE APPLICABLE TYPE OF REGISTRATION

Registration Type^*

*Those presenting a paper fall under AHILA Members.
*Payment for early registration is due before 31 December 2021
*Payment for standard registration should be received between 1 and 31 January 2022
*Payment for late registration is due on 20 February 2022
*All payments after 31 January 2021 are for late registration.
*email copy student ID to amanda@itoca.org for student registrations.
*all AHILA members to send proof of membership to chiedza@itoca.org

All payments are via bank deposits or wire transfer made into 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
Account currency: US Dollars

*For payment in South African Rand equivalent and rates for Exhibitors, please contact 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 after 31 December 2021 will be done on-site.

vi) Invoices for all payments will be available for collection during the conference at the registration desk.

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