Language
English (UK)
French (France)
Back
Next
Save
Check your eligibility to apply for the 21st AAVC
Back
Next
Save
Will you be located on the African Continent at the time of the conference?
*
Yes
No
Have you previously attended the Annual African Vaccinology Course?
*
Yes
No
Was your attendance in person or online?
*
Please Select
Online
In-Person
Which year was your attendance?
*
Eg. 2024
Back
Next
Save
Name
*
First Name
Last Name
Email
*
example@example.com
Date of Birth
*
-
Year
-
Month
Day
Date
Gender
*
Nationality
*
Please Select
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cabo Verde
Cameroon
Central African Republic (CAR)
Chad
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cote d’Ivoire
Djibouti
Egypt
Equatorial Guinea
Eritrea
Eswatini
Ethiopia
Gabon
Gambia
Ghana
Guinea
Guinea-Bissau
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
South Sudan
Sudan
Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Other
Which nationality are you?
*
Country of Residence
*
Please Select
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cabo Verde
Cameroon
Central African Republic (CAR)
Chad
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cote d’Ivoire
Djibouti
Egypt
Equatorial Guinea
Eritrea
Eswatini
Ethiopia
Gabon
Gambia
Ghana
Guinea
Guinea-Bissau
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
South Sudan
Sudan
Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Passport Number / Identification Number
*
Have you been appointed by your Minister of Health to serve on your National Immunization Technical Advisory Group?
*
Yes
No
What is your role on the NITAG?
*
Contact Information
Mobile Telephone Number
*
Office Telephone Number
Background Information
Current Employment Position
*
Name of Current Institution / Employer:
*
Address of current Institution / Employer:
*
Highest level of education
*
Previous Relevant work experience in vaccinology
*
EPI Management
National Immunisation Technical Advisory Groups
Vaccine Cold Chain Management
Immunology or Related Research
Vaccine Clinical Trials
Other
None
Please expand on your other previous Relevant work experience in vaccinology that you selected in the previous question.
*
Medium for the course is English with no interpretation available
Proficiency of your spoken English
*
Excellent
Good
Average
Poor
Proficiency of your written English
*
Excellent
Good
Average
Poor
Have you attended the Annual African Vaccinology Course (AAVC) in the past?
*
Please Select
Yes
No
Was your attendance in person or online?
*
Please Select
Online
In-Person
Specify the year you attended the AAVC course
*
Have you attended any OTHER vaccinology course in the past?
*
Please Select
Yes
No
If yes to the question above, specify the course attended and which year.
*
Line manager’s contact information
(provide the details of your immediate supervisor/line manager below)
Title of Line Manager
*
Please Select
Dr
Prof
Mr
Mrs
Ms
Name of Line Manager
*
Email of Line Manager
*
example@example.com
Line Manager's Office Telephone Number
*
Line Manager's Mobile Telephone Number
*
Back
Next
Save
DOCUMENTS
Please upload the following documents ENSURING that they are in ENGLISH only.
Motivation Letter - MAX 1 PAGE
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Abridged Curriculum Vitae (CV) - MAX 2 PAGES
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Support Letter from your supervisor / Line Manager - MAX 1 PAGE
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
If you are having issues, please email vacfa@uct.ac.za
Back
Next
Save
Unfortunately, you are not eligible to apply for the course this year. We are only accepting applications from individuals based within the African region who have not attended the course previously.
Save
Submit
Should be Empty: