LEADERSHIP DEVELOPMENT WORKSHOP (LEDEV) Accra, Ghana 24 - 28 October, 2016 REGISTRATION FORM Question Title * 1. Title Mr Miss Mrs Dr Prof Question Title * 2. Surname Question Title * 3. Other Names Question Title * 4. Position Question Title * 5. Name of Institution Question Title * 6. Address Question Title * 7. City Question Title * 8. Country Question Title * 9. Telephone Number (with City Code where applicable) Question Title * 10. Fax Number Question Title * 11. Email Address Question Title * 12. My choice three theme(s) are (tick): University Advancement through Resource Mobilisation and Allocation Leadership and Governance of African Universities Strategic Planning in African Universities Quality Assurance Facilitating University-Industry Linkages ICT and Research and Education Networking Question Title * 13. Registration Fee: US $600 will be paid before 12th October, 2016 US $700 will be paid on arrival in Accra, Ghana Question Title * 14. AccommodationPlease reserve accommodation for me at Airside Hotel:Negotiated Rate for Standard Room = US$100 per night Number of Nights THANK YOU Done
