Nigerian Environmental Summit (NESt)

1: Personal Information

Full Name ^*

Gender ^*

Date of Birth ^*

Membership ID

Contact No. ^*

Email Address ^*

Residential Address ^*

City ^*

State/Province ^*

Postal Code

2. Event Details

Event Name ^*

Event Date ^*

Location ^*

Preferred Session

Morning

Afternoon

Evening

Dietary Restrictions

None

Vegetarian

Halal

Other

3. Registration Type

You are registering as ^*

Role In Event

Attendee

Speaker

Panelist

Volunteer

Other

4: Payment Information

5: Emergency Contact Information

Contact Name ^*

Relationship to Applicant ^*

Contact No. ^*

Alternate Contact No.

6: Consent and Declaration

Consent for Participation: I agree to participate in the above-mentioned event and abide by the event rules and regulations as stipulated by NESUG.

Privacy and Data Protection: I understand that my personal data will be used solely for the purpose of this event registration and related communications in accordance with NESUG’s Data Protection Policy.

Check here to confirm that you have read and agreed to NESUG’s Privacy and Data Protection Policy.

Contacts

1: Personal Information

2. Event Details

3. Registration Type

4: Payment Information

5: Emergency Contact Information

6: Consent and Declaration

Phone

Email

Address