DELEGATES REGISTRATION FORM Prevent Duplicate EntryForm is successfully submitted. Thank you!Online Registration FormKindly complete form below to register for the CILT Forum 2022 in Accra, Ghana. Please use CAPITAL LettersPersonal / Contact Details TitlePlease selectProf.Dr.Mr.Mrs.Ms.Other.Surname Name*First Name*Other NamesGenderMaleFemaleOtherDate of BirthEmailYour current Job Title*Phone Number*Passport NumberWhatsApp Number* Organization Information Organization Name*WebsiteAddress*Address Line 2Country*Please selectAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCote D’IvoireCroatia (Hrvatska)CubaCyprusCzech RepublicCongo (DRC)DenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Islas Malvinas)Faroe IslandsFiji IslandsFinlandFranceFrench GuianaFrench PolynesiaFrench Southern and Antarctic LandsGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong Kong SARHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKoreaKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao SARMacedonia, Former Yugoslav Republic ofMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabweCity*Are you a CILT Member?*YesNoCILT Membership Number (If N/A please type ‘0’)*What is your current grade of membership?*Please select oneChartered Fellow (FCILT)Chartered Member (CMILT)Member (MILT)Affiliate MemberStudent MemberHonorary MemberRetired MemberNon Member Flight Details Arrival Date:Time:Flight No.:Departure Date:Time:Flight No.:Dietary/Accessibility RequirementsI have read the document and give my authority to be photographed, filmed and/or recorded?*YesNo Participation Fee/Packages Participation Fee & Package (Accommodation is not included in any of these packages)Are you a local or international delegate?*Local delegateInternational delegateLocal Delegate PackagePlease select the package that applies to youCILT Member – GHS 1,400.00WiLAT – GHS 1,200.00Next Generation/YP – GHS 1,000.00Non-Member – GHS 1,600.00Participation Fee & Package for local delegatesInternational Delegate PackagePlease select the package that applies to youCILT Member – $330.00WiLAT – $280.00Next Generation – $250.00Non-Member – $500.00Participation Fee & Package for International delegates Hotel Reservation by International Delegates Please select the hotel you have reservedLA-PALM ROYAL BEACH HOTEL, LABADIHIS MAJESTY’S HOTEL, LABADISUSSANA & MAHOGANY LODGE, CANTOMENTSCOCKTAIL & DREAMS HOTEL, TSE-ADDO, LABADIALISA HOTEL ANNEX, LABONEOthers Optional Package Guided Tour with Lunch on 12th May, 2022*Zipeline Ghana – $50Swissport Ghana – $50No, not interested SubmitPowered by ARForms (Unlicensed)Online Registration FormPrint
