Uganda Library and Information Association
XXIII SCECSAL Registration Form
Name:
Mr.
Ms.
Mrs.
Miss
Dr.
Prof.
Prefix
First Name
Middle Name
Last Name
Gender
Position
Organisation
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Address
Home, Work and Permanent
Contact
*
day contact
E-mail
Role at Conference (Please Select)
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Next
Please enter the name you wish to appear on your
Tag
if different from name above
Name Badge
First Name
Last Name
Organisation/Company
Date
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Registration Date
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01
02
03
04
05
06
07
08
09
10
11
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15
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22
23
:
Hour
00
05
10
15
20
25
30
35
40
45
50
55
Minutes
Select Registration Type
Submit
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