Conference Registration Form Email Address Full Name of Attendee (Title, First Name, Surname) Affiliation/Organisation of Attendee Gender of Attendee Gender of Attendee Male Female Country Mobile Number of Attendee Please select membership/employment [where/if applicable (This will be verified by the organisation)] Please select membership/employment [where/if applicable (This will be verified by the organisation)] e/Merge Africa Leaders of Africa IIE Would you be interested in attending this conference in 2023? Would you be interested in attending this conference in 2023? Yes No Would you like to serve as a reviewer for future editions of this conference? Would you like to serve as a reviewer for future editions of this conference? Yes No Where did you hear about this conference? Where did you hear about this conference? LinkedIn advert Group Mailing List Invitation email from organiser Invitation email from colleague/supervisor FB advert Other 10 + 9 = Submit