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Nursing Entrepreneurship and Home Based Care Workshop Registration Form
Event Date and Time: JUNE 19th-20th, 2019, 9:00am daily
Event Address: CEMAC HALL UNEC ENUGU
Contact us at: 08064854206 (Dr Nwaneri) , 07035774494 (Ralueke)
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Name
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Your answer
Email Address
*
Your answer
Phone Number
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Organization/school/place of work
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Your answer
Student?
*
Yes
No
What days will you attend?
*
Day 1: 19th June
Day 2: 20th June
Required
Will you require assistance with accommodation arrangement?
Yes
No
Maybe
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Dietary restrictions
*
None
Vegetarian
Other:
I understand that I will have to pay 15,000 as regular workshop fee or 5,000 as undergraduate student
*
Yes
Required
Mode of Payment
Cash Deposit: Bank: GTBank, Account Number: 0118574308, Bank Name: Blue Torch Home Care Limited
Transfer: Bank: GTBank , Account Number: 0118574308 , Bank Name: Blue Torch Home Care Limited
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