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* 1. Title

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* 2. Surname

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* 3. Other Names

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* 4. Gender

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* 5. Position at your institution

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* 6. Name of Institution

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* 7. City

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* 8. Country

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* 9. Telephone Number (with City Code where applicable)

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* 10. Email Address

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* 11. THEMES FOR 2017 MADEV
Strategic Thinking and Management
New HE Delivery Modes: Distance education
Funding Higher Education: Trends and Innovations
University-Community Engagement for Development

Please indicate particular aspects of the proposed themes that you want emphasized.

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* 12. Registration Fee:

THANK YOU

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