H.E Chief Olusegun Obasanjo
UNDER THE HIGH PATRONAGE OF
HIS EXCELLENCY CHIEF OLUSEGUN OBASANJO GCFR, Ph.D
( Former President of The Federal Republic of Nigeria )

    International Delegation Application

    Please provide your information below indicating your desire to organize an International Delegation to the ACSCD 2019 in Victoria Island, Lagos.

    Delegation Leader First Name: *

    Delegation Leader Last Name: *

    Email: *

    Organization/Institution *

    Job Title/Position *

    Delegation Coordinator First Name: *

    Delegation Coordinator Last Name: *

    Delegation Coordinator Email: *

    Address: *


    City *

    State

    Zip/Postal Code

    Country *

    Phone: *

    please add (+ country code)

    Estimated Number of Participants *

    Please Name Your Delegation *

    Please start with your country, for example: Nigeria-(your group's name)

    A minimum of 5 paid participants are required to form a delegation.

    After ten (10) registered delegates, each delegation gets one (1) complimentary registration. Please contact info@acscd.org to request your complimentary registration.

    Once your application is approved, a delegation code will be issued. We will send you a confirmation letter and the link to the registration form.

    Please indicate how will you pay for your delegation's registrations *

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