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Registration Form (Part 1)
1. Please be sure to read the
registration details
on our home site before proceeding with your booking.
2. You may add any special information or requests in the text area at the end of page 3.
3. Bookings will not be recorded until ALL information has been included and you have
clicked 'Finish'
on the final page.
Delegate
Accompanying Person
Delegate information
Family Name (
exactly
as on your
passport
) (35):
First name(s) (
exactly
as on your
passport
) (50):
Title:
Mr
Miss
Mrs
Ms
Dr
Prof
Mr
Miss
Mrs
Ms
Dr
Prof
Are you resident in (or traveling from) South Africa ?
Or are you resident in Mauritius ?
Or will you be traveling from another country ?
Passport Nationality (35):
Please see visa info on
SATNAC main site
Passport Number (35):
Passport Expiry Date (DD-MM-YYYY) (10):
Please note
that expiry must be more that 6 months later than travel date
Name to appear on delegate's badge (35):
Postal Address (50):
Residential Address (100):
Organisation (35):
Department / Section (35):
Student number (if applicable) (35):
Sharing room with (Name or Ref. No) (35):
VAT number (RSA only) (35):
Contact person (35):
Email (50):
Telephone (including your country code) (35):
Special dietary requirements :
None
Vegetarian
Halaal
Diabetic
Other (Please note on page 3)
None
Vegetarian
Halaal
Diabetic
Other (Please note on page 3)
'T'shirt size:
S
M
L
XL
XXL
XXXL
S
M
L
XL
XXL
XXXL
Sport shoe size:
4-5
6-7
8-9
10-11
12-13
4-5
6-7
8-9
10-11
12-13
I have read the
Terms and Conditions (displayed on the SATNAC website)
and confirm my acceptance thereof: