Ppp Registration Form_livingstone Conference

PPP Conference: 9 – 13th February, 2009 Chrismar Hotel – Livingstone, Zambia

   

REGISTRATION FORM Please print clearly in capital letters

 

 

 

SURNAME:

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OTHER NAMES:

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TITLE:

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JOB TITLE:

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E – Mail:

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Tel No.s/Mobile:

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Fax No.

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ORGANISATION:

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ADDRESS:

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ZESCO

Dietary or Special Needs:

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Signature:

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Course Participation Fee: Bank Details:

USD 750 or Kwacha Equivalent ZESCO Limited PRP Operations Account Finance Bank A/c No. 006 08010 1019501

All enquiries to be addressed to:  Ngoza S C Nkwabilo – E Mail: [email protected] Phone:+260 955 773 393 or +260 977 773 393  Florence Mutale – E Mail: [email protected] Phone:+260 966 759 237 or +260 978 444 066  Patience Mthembu– E Mail: [email protected] Phone: + 27 11 313 3918 or + 27 78 45  Monyl Toga– E Mail: [email protected] Phone: + 27 11 775 2000