REGISTRATION
"SECURING THE DIGITAL AGENDA"
Full Name
*
First Name
Last Name
Gender
*
Please Select
Male
Female
E-mail
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
Country
Postal / Zip Code
Ministry or Department’s Name
Ministry or Department’s Name
Organization's Name
Organization's Name
Job Title
Job Title
Which title best describes your job function:
Please Select
Consultant
ICT Stakeholder
Network Operator
Government Representative
Entrepreneur
Professional
Student
Other
Select if you will be attending in person or virtually.
*
In-person
Virtual
For in-person attendance, kindly specify any food allergies you may have. For virtual attendance and for those with no allergies for in-person attendance, simply type 'Not Applicable'.
*
Ex. Type "Yes, peanut allergy".
Submit
Should be Empty: