The DAEA Pre-defense Colloquium Registration Form

Charges per day

1. Ksh. 2,000 member presenters per day

2. Ksh. 2,500 non-member presenters per day

3. Ksh. 1,000 general attendees per day

Please make your the appropriate payment to;

MPESA PAYBILL NO: 584677
Account Number: (Your Name)
or
Bank: Bank of Africa, Branch: Monrovia
A/C Name: Doctoral Association of Eastern Africa
A/C Type: Chama current account
A/C No: 07532020006

INPUT CODE FOR PAYMENT *
Input the code for M-Pesa (GXKK174..) for mobile or bank slip number if paid through the bank

Your Full Names

Your Email Address

Your Phone Number

ID/ Passport

University Name

Degree acquired/Type of Degree

Area of Specialisation

Number of days to attend