First name
*
Title
Prof.
Dr.
Mr.
Mrs.
Last name
*
Gender
*
Male
Female
Diverse
Name to be printed on badge (If different from first or last name)
Organization/Institution
*
Address
*
City
*
Post code
*
Country
*
Mobile Phone (incl. Country Code)
Work phone
Email Address
*
I will join the Icebreaker (included in registration)
Yes
I will join a behind-the-scenes tour at the Natural History Museum (inc. in registration)
Yes
I will join the conference dinner
Yes
I want to give a presentation
Oral presentation
Poster
Guided tours/excursions (please choose only one, these activities run in parallel!)
I will join a full-day excursion
Masungi Georeserve
Candaba Swamp and Wild Duck Sanctuary
Yes
Accommodation on campus
Type of accommodation
*
Dorm bed
Single room
Arrival date
Departure date
Security Code
*