OMRS23 Registration Form

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* Indicates required question

Email *

Your email

Participant Details

Title

Choose

Mr.

Mrs.

Miss.

Ms.

Sir.

Dr.

Prof.

Other

First Name *

Your answer

Last Name (Surname) *

Your answer

Preferred Name

Your answer

Phone Number *

Your answer

Country Name *

Your answer

Job Title/Position *

Your answer

Company/Organization *

Your answer

Are you applying for a scholarship? *

Yes

No

Means of Travel *

Flight

Other:

Select payment option used/to be used *

Paypal

Brown Paper Tickets(BPT)

Wire Transfer(for bulk registration i.e 3 participants and above)

Do you need an official invitation letter for visa and immigration? *

Yes

No

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