COREVIP 2019 Participants Registration Conference of Rectors, Vice Chancellors and Presidents of African Universities (COREVIP)Al-Azhar University, Cairo, Egypt8-11 July 2019 OK Question Title * 1. Surname OK Question Title * 2. First Name OK Question Title * 3. Title Dr Miss Mrs Ms Mr Prof OK Question Title * 4. Nationality OK Question Title * 5. Gender Female Male Prefer not to say OK Question Title * 6. Name of organisation OK Question Title * 7. Position / Job Title OK Question Title * 8. Is your institution a member of the AAU? No Yes I do not know OK Question Title * 9. Mobile telephone OK Question Title * 10. Email1 OK Question Title * 11. Email2 OK Question Title * 12. How are you funding your participation? I am sponsored I am self funded I am not sure yet OK Question Title * 13. If sponsored who is your sponsor OK Question Title * 14. How will you pay your registration fees? In advance to AAU by Bank Transfer On Arrival in Egypt Other means OK Question Title * 15. Are you a speaker at COREVIP 2019? No Yes OK Question Title * 16. Have you submitted a conference abstract? No Yes OK Question Title * 17. Do you intend to submit a conference abstract? No Yes OK Question Title * 18. Have you attended the previous AAU organized COREVIP events? No Yes OK Question Title * 19. In which years did you previously participate in the AAU organized COREVIP events? OK Question Title * 20. Country of departure OK Question Title * 21. City of departure OK Question Title * 22. Do you need a visa to Egypt? No Yes OK Question Title * 23. Do you need an invitation letter from the host institution? No Yes OK Question Title * 24. Please upload a copy of your passport (file type must be PDF, Word, JPG, JPEG, GIF or PNG) DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only. Choose File Choose File No file chosen Remove File (file type must be PDF, Word, JPG, JPEG, GIF or PNG) OK Question Title * 25. Passport Number OK Question Title * 26. Date of Passport Expiry OK Question Title * 27. Do you need assistance with booking accommodation in Egypt? No Yes OK Question Title * 28. Date of arrival in Egypt OK Question Title * 29. Time of flight arrival OK Question Title * 30. Arrival flight number OK Question Title * 31. Date of departure from Egypt OK Question Title * 32. List any Dietary Requirements OK Question Title * 33. List any other special needs OK DONE