Annual Quality Assurance for Higher Education Leaders (QAHEL) Workshop
Registration Form

22 - 23 May, 2017, at Sheraton Hotel, Ikeja, Lagos, Nigeria

REGISTRATION FORM

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* 1. Surname

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* 2. Other Names

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* 3. Title

Miss

Mrs

Prof

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* 4. Position

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* 5. Name of Institution

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* 6. Address

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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. Fax

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* 11. Email Address

Registration fees should be paid in full by transferring the registration fee ($700) to the AAU’s bank account:

AAU BANK DETAILS

Please pay into the following account:

Account Name:    ASSOCIATION OF AFRICAN UNIVERSITIES

Name of Bank:     STANDARD CHARTERED BANK HIGH STREET BRANCH                                  ACCRA-GHANA

Account Number:          8700 202 448803

Swift Code:                    SCBLGHAC US

Correspondent bank:     SCB New York

Swift Code:                    SCBLUS33

ABA#:                  026002561

Please send proof of payment to Prof. Jonatha Mba. Email address: Email: jcmba@aau.org

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* 12. Travel Schedule

Arrival Date

Flight no. & Time

Departure Time

Flight no. & Time

THANK YOU