REVIVE Meeting, Nairobi, Kenya

REVIVE Meeting, September 2026

Nairobi, Kenya
Please complete this form and click Submit.
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I will attend the REVIVE Steering Committee to Investigators’ Meeting:
Full Name - Enter your name as shown on your valid passport.

Passport Details
Please complete your passport information. It is mandatory you have the correct and necessary travel documents for entry into Kenya. If visa required, please contact us for review. Refer to this link for information: https://www.etakenya.go.ke/en
Title
First Name
Middle Name
Surname 1
Surname 2
Birth Date

MonthDayYear
Gender
Country of Issue
Passport #
Date of Issue

MonthDayYear
Date of Expiry

MonthDayYear
Name Badge
Name as preferred on Badge
Institution
Study Position Title
Contact information
Mobile Phone
Business Phone
Extension
Your Email
Those with University of Cape Town email addresses should provide personal email addresses only, due to the fire wall issues.
Travel Information
Transportation
Airport of Departure
Preferred Airline
Frequent Flyer#
Arrival Date
Preferred Arrival Time
Departure Date
Preferred Departure Time
Preferred Seating
Accommodations
Do you require Hotel Accomodation?
Accommodation will be provided at Glee Nairobi Hotel for the nights of September 2nd, 3rd, & 4th, 2026, if required & attending the REVIVE IM. (Extra nights are avilable at your own expense).

If you wish additional nights, please contact meetings@heminggroup.com
Will you be attending the Welcome Dinner on September 2nd, 2026?
Will you be attending the Offsite Dinner on September 3rd, 2026?
Will you be attending the Closing Dinner on September 4th, 2026?
Dietary Restrictions or Allergies
Additional Information
Should be Empty:

REVIVE Meeting, September 2026

Accommodations