PSN CONFERENCE IBADAN 2023 REGISTRATION FORM

Full Name*

TitleFirst NameLast Name

E-mail*

example@example.com

Institutional Address*

Street Address

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CityState / Province

Postal / Zip CodeCountry

Phone Number*

Area CodePhone Number

I will attend:*

PhysicallyVirtuallyI will combine both Physical and Online attendanceI will also attend the Pre-conference workshop

Workshop Option (In which of the following workshops are you interested?)

Drosophila melanogaster as a tool in Physiological ResearchMentoring and Manuscript writing workshop

Accommodation required*

YesNo

Select your preferred accommodation type

Category 1 (N5,000 - N7,000 per night)Category 1 (N7,500 - N10,000 per night)Category 1 (N11,000 - N15,000 per night)Category 1 (N16,000 - N20,000 per night)Category 1 (N21,000 - N25,000 per night)

I am interested in*

Poster PresentationOral presentationWorkshop participationJust attending the conference

Please upload your passport size photograph*

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PAYMENT DETAILS

CONFERENCE REGISTRATION (Compulsory): N25,000 OR $100

ACCOMMODATION: Category 1

ACCOMMODATION: Category 2

ACCOMMODATION: Category 3

ACCOMMODATION: Category 4

ACCOMMODATION: Category 5

Conference Registration Includes:
Access to all Speaker Sessions and Network Sessions
Full Accessibility to Conference E-Material
Lunch & Coffee breaks during the conference
Certificate of participaints

Payment for Accommodation includes:

Accomodation during the conference
Breakfast during the conference
Wi-Fi during the accommodation days

Payment should be made into the following account:

Within Nigeria

Bank Name: First Bank of Nigeria

Account Name: PHYSIOLOGICAL SOCIETY OF NIGERIA LOC UNIVERSITY OF IBADAN

Account Number: 2023001240

PLEASE UPLOAD YOUR PASSPORT SIZE PHOTOGRAPH

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40th Scientific Conference and Annual General Meeting of the PHYSIOLOGICAL SOCIETY OF NIGERIA Online Registration