Unconference attendance confirmation
Thanks for taking two minutes to help us with our records! We all love an attendance sheet...
Name
*
First Name
Last Name
Email
*
Agency / Institution
Are you a South Sudanese National?
*
Yes
No
What is your home State or Administrative Area
Please Select
Central Equatoria
Western Equatoria
Western Bahr-el-Ghazal
Northern Bahr-el-Ghazal
Warrap
Unity
Lakes
Upper Nile
Jonglei
Eastern Equatoria
GPAA
Ruweng AA
What is your sex?
Male
Female
Prefer not to say
Phone Number
-
Country Code
Phone Number
Do you consent to be included in photos of this event?
Yes
No
I would like to receive POF updates
*
Yes
No
I confirm that I attended the Unconference at Imperial Plaza Hotel on 25 October.
Submit and return to real life!
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