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4th SMART Africa Network MRI workshop
July 23-25, 2025
Title
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How do you want to attend this meeting?
What best qualifies your career stage?
First name
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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 MRI Webinar
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Have you attended any of our previous Workshops?
*
None
Uganda
Ghana
Tanzania
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)
You are eligible to a 20% dicount and would be required to pay 60,000 naira or $60 for local and international physical partiipants respectively and 28,000 naira and $28 for local and international virtual participants respectively. Kindly upload receipt where applicable and email: Info.smarta.network@gmail.com, a copy of your student ID and ensure a successful application.
Emergency Contact Phone number
Emergency Contact Name
If Yes (Explain)
What's your T-shirt size?
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How would you like to pay for registration?
*
Card payment
Bank Transfer
On Site
Our team would contact you to facilitate your payment
REGISTRATION COST
₦ 35,000
REGISTRATION COST
₦ 75,000
REGISTRATION COST
$35
REGISTRATION COST
$75
Local Transfer Account
Bank Name: Zenith Bank Plc. Account Name: Kornerstone Brain Research Foundation NIG LTD. Account number:1229394640
International Transfer Account (US Dollar only)
Bank Name: Zenith Bank Beneficiary Name: KORNERSTONE BRAIN RESEARCH FOUNDATION NIG LTD. Bank Address: Ojoo Branch, Opposite Niser Along UI- Ojoo Road Ibadan Oyo State , Ibadan, Oyo State, Nigeria. Account Number: 5074984801 IBAN Number: 5074984801 SORT CODE: 057190112 SWIFT Code: ZEIBNGLA
Receipt
Upload File
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Receipt
Upload File
Upload supported file (Max 15MB)
Payment Covers
> Workshop Materials (Brochure, Notepad, Bag , T-shirt) > Breakfast and Lunch (3 days) > Trip to MRI Centre for practical demonstration > Access to closing dinner on the last day
I hereby certify that all the information provided are correct.
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