Annual Research Institute Conference​

​​Registration form​

Title

First name
Last name
Qualification
Institution
Address
Country
Telephone
Mobile
Email
Attendee type
Payment options (e.g. Cash (pay on arrival) & Bank transfer)

Bank details

Account name: The Aga Khan  University ​

Branch: Mosque Street 

USD A/C: 0500​​444045

TZS A/C: 0500444002

Bank name: Diamond Trust Bank

Swift code: DTKEKENA​