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PASMAT V / MS4SSA Workshop August 19-31, 2018

Registration for the PASMAT V/MS4SSA Workshops are now open!

Registration:- Faculty/Industry ($400)

Students ($20)

Please fill out all indicated spaces. Changes to your registration details cannot be changed after submission, so please take adequate care when providing your details. Onsite registration will be done on Sunday, August 19 for the MS4SSA workshop and on Monday, August 20, 2018, for the PASMAT V workshop.It is advised that you make use of the online registration to ease logistics arrangements.

PRIVACY
The Pan African Materials Institute (PAMI) will gather and record personal information necessary for your attendance at the workshop. These data will be gathered, stored and utilized solely for the workshop’s logistics needs. No personal details gathered will be disseminated to any third party.

First Name

Surname

Title

Mr.
Miss
Mrs.
Dr.
Prof.

Position Please state your role in your ACE/Institution/Organization/Students

Name of ACE/Institution/Organisation

I am Attending

Biomaterials
Energy Materials
Multifunctional Materials

Gender

Male
Female

Address

City/Town

Country

Telephone Number With city and country code where applicable

Telephone no. of emergency contact With city and country code where applicable

How will you be arriving?

By Flight
By Road

Date and Time of Arrival Day - Month - Year - Hour - Minutes - AM/PM

Year / Month / Day Hour : Minute AM/PM

Date and Time for Departure Day - Month - Year - Hour - Minute - AM/PM

Year / Month / Day Hour : Minute AM/PM

Arrival Flight Number

Departure Flight Number