12th ICT4D Conference Passcode Registration Form

2020 Passcode Registration Form

Step 1 of 6

Enter your Passcode*

You must enter a valid Passcode to continue with registration.

Organization Information
Organization Type*
Organization Name*
Organzation Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Website*

Attendee's Information
If you are filling out this form for someone else, please note that the information below is for the person attending the conference.
Full name (for conference name badge and networking only)*
First Last
Full name as shown on your passport (for the Visa Support Letter)*
First Last
Email Address*
Enter Email Confirm Email

Please enter a valid professional email that we can use to keep you informed of the ICT4D Conference and related developments. If you are applying on behalf of a colleague please ensure you insert his/her email address here.
Phone*
Twitter
Blog
Country Where You Are Currently Based*
Country of Which You Are A Citizen*
Will you require a Visa Support Letter to apply for a Nigerian visa?*
- Yes
- No
For information on a Nigerian visa, visit https://immigration.gov.ng
Provide your Passport No.*

The information provided will populate your Visa Support Letter.

Your personal data will not be shared with external organizations and deleted after 6 months of collecting.

In case of emergency, please contact
Emergency Contact telephone
Data Protection and Privacy*
- I consent
- I do not consent
We would really like to continue sending you the latest updates, information, and invitations to the ICT4D Conference and other events, initiatives and activities. In order for us to be able to do this, we need you to give us permission. To do this, please select the 'I Consent' button below. If you do this, we will be able to keep you on our mailing list. You can still unsubscribe at any time, by clicking on the unsubscribe link at the bottom of our emails. Please see the main website for more details of our Data Protection Policy: https://www.ict4dconference.org/privacy-policy/
By submitting this application, I agree that:*
My contact information will be safeguarded by the ICT4D Conference as identified in the ICT4D Conference Privacy Policy www.ict4dconference.org/privacy-policy

My full name, job title and organizational affiliation will be uploaded and be visible to other attendees on the conference agenda website https://ict4dconference.pathable.com. Conference attendees are sent an invitation to login, complete an online profile, preregister for agenda sessions and have the ability to privately message as well as schedule meetings with other event attendees

The ICT4D Conference fee is not refundable after February 20, 2020. Cancellations must be received in writing before this date to admin@ict4dconference.org

After the conference cancellation deadline date, no refunds can be made; however, the registration fee can be transferred to a substitute attendee from the same organization. To make a substitution, notify ICT4D Conference with the substitute’s email address, full name as it appears on the passport, passport number, full name they would like on their conference badge, job title, the country they are travelling from, nationality and address and who is being replaced; their full name, email address and job title to admin@ict4dconference.org

If the ICT4D Conference is obliged to cancel the event for whatever reason, then I will receive a full refund of all attendee fees already paid, less any PayPal administrative fees if applicable. The ICT4D Conference is not liable for any travel, visa or accommodation expenses incurred by me or my organization if the event is cancelled or postponed. I am responsible for arranging any travel insurance that may be required. My travel insurance may cover cancellation costs

At the event I am likely visit one or more exhibitors on their stand or attend one or more sessions. By allowing my badge to be scanned by an exhibitor, or at a session door, the exhibitor or session sponsor will have access to my name and contact information provided during this registration process for them to follow up post event.

For contact details not to be passed on, please refrain from having your badge scanned by exhibitors or at session entrances. Badges will be scanned at the main entrance to the event upon arrival, this badge scan is for analytical purposes only and no data is transferred to any other parties.

I consent to filming and photography of the event and the ICT4D Conference to use any such recording or photography for educational, promotional, marketing and other purposes

I understand that circumstances beyond the control of the ICT4D Conference may necessitate substitutions, alterations or cancellations of a speaker and/or program topic

I will abide by the ICT4D Conference rules code of conduct and the event host venue’s non-smoking and security policies.

For full Terms & Conditions, visit www.ict4dconference.org/terms-conditions
- I agree to all the above terms

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12th ICT4D Conference Passcode Registration Form

2020 Passcode Registration Form

Step 1 of 6

Ticket Selection

Organization Information

Attendee's Information

Attendee's Information