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REGISTRATION FORM

Please complete this Registration Form.

For more information, please do not hesitate to contact: Wilson M. Tumushabe, Tel: +256 782 716261 / +256 701 121372, Email: w.tumushabe@petroleum.go.ug / tumushabewm@gmail.com

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I WILL ATTEND AS(*)

Delegate (International) - US$ 1,000

Delegate (EAC Delegate) - US$ 500

Delegate (Uganda Chamber of Mines) - US$ 500

Student - US$ 200

Conference Presenter / Speaker

VIP

Committee Member (SC or NOC)

Support Staff

Exhibitor

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I WOULD LIKE TO MAKE A BOOKING FOR: (Please select your choice):

Electronic Poster - US$ 1,000

Paper Poster - US$ 1,000

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I WOULD LIKE TO EXPRESS MY INTEREST IN THE FIELD EXCURSIONS (Please select your choices):

POST-CONFERENCE EXCURSIONS

Please contact the listed contact person in the respective Partner State

Burundi: Volcano Sedimentary Rock, Ruhwa - US$ 830

Kenya: Lamu Basin, Coastal Region - US$ 1,000

Rwanda: Bugarama Graben and Nyungwe National Park - US$ 650

Uganda: Southern Albertine Graben - US$ 900

Tanzania: Northern Circuit 0 US$ 940 (Residents) / US$ 1,137 (Non-Residents)

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For any other queries, do not hesitate to contact:

Wilson M. Tumushabe, Email: w.tumushabe@petroleum.go.ug / tumushabewm@gmail.com | Tel: +256 782 716261 / +256 701 121372

Jackie Ahimbisibwe, Email: j.ahimbisibwe@petroleum.go.ug | Tel: +256 706 682914

Register Online

REGISTRATION FORM

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