Register for UIP Workshop in Cotonou

Title

Mr/ Ms/ Dr. /Prof.

First Name / Prénom

As written in your passport

Surname / Nom

As written in your passport

Gender/ Genre

Female/ Feminin Male/Masculin Prefer Not to say/ Sans réponse

What is the name of your Organization

Position / Fonction

E-mail address / Courriel

Nationality / Nationalité

Participation type/ Mode de participation

Virtual In Person ( in Cotonou)

Country / Departure City / Pays / Ville de Départ

Eg: Kenya, Nairobi

Bio Passport Page / Page Biométrique de Passport

Choose a file Please select a file

Supported formats: PDF. Maximum filesize: 5.0 MB.

Accept use of the Information provided

Yes No

Information will be used for logistics (ticket, accommodation, etc)