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5th SMART Africa Network MRI workshop
May 7-8, 2026
Title
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Gender
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Institution
Nationality
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How do you want to attend this meeting?
What best qualifies your career stage?
First name
Profession
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Email
How did you hear about this meeting?
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Last name
Highest qualifications (degrees)
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Phone Number
Would you be attending the Virtual Pre-Workshop MRIÂ Webinar
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Have you attended any of our previous Workshops?
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None
Nigeria
Tanzania
Ghana
Uganda
Would you like our team to provide any assistance to ensure your comfort and accessibility during the workshop?
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Do you have a food allergy or special dietary requirement? (For In-Person Attendees only)
Emergency Contact Phone number
Emergency Contact Name
If Yes (Explain)
I hereby certify that all the information provided are correct.
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