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ECSA-HC CONFERENCE
In order to be registered as General Participant or facilitator, please fill in the following form

Author
Participant
Your RegistrationID is:
Title*
Family Name*
First Name*
First name Initial*
Institution/Company*
Department
Address*
ZIP code*
City*
Country*
Telephone
Fax
Email*

For Facilitators, Please Indicate Abstract Title(S)
Abtract IDTitle

Please Indicate the type of your presentation
In person Participant (ORAL or POSTER presentation)
Not attendant (Virtual Presentation)

Vitrual Participants will receive the UNAHA/ECSA-HC/IHF Conference Publication

I Accept my personal data treatment, according to the data protection laws of Uganda

NOTES: Refund and cancellation requests must be received in writing before October 10th 2008. There is a 20% service charge for refunds on registrations.
The fields remarked with (*) are compulsory to be filled iin by the applicant. Your data will not be given to third parties except for legal obligations. Each individual will have his rights of access, retification or cancellation and objection by sending a notice to the above address accompanied by an official identification document or by email unahaconference@yahoo.com

Contact person

Alison Kantarama Emerie (MRS)
President, Uganda National Association of Hospital Administrators (UNAHA)
Tel: 256-414-554748
Mob: 256-772-428908
Email: alisonkantarama@yahoo.com

    

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