KLI Registration

REGISTRATION FORM

Transformative Business Trip to South Africa & ICCC Africa Regions Conference

Kindly fill the form below to submit your interest to enroll in this program.

Note :
We’re delighted by your interest! Please take a moment to complete this form. Our dedicated team will thoughtfully review your details and reach out to you with the exciting next steps. We look forward to connecting with you!.

Required Fee $2,300.00 (6,325,000.00)

PERSONAL INFORMATION

First name*

Middle name*

Last name*

Gender*

Age*

Passport number*

Nationality*

Specify nationality if Other is selected

Phone Number (with country code)*

(Eg; +255786557397)

PROFESSIONAL/BUSINESS INFORMATION

Company/ Business name*

What is the size of your business ? (Select the option that best applies)*

Current Role/Position*

Business website

EXPECTATIONS & INTEREST

What is your primary objective for joining this delegation to South Africa? (Select the most relevant goal)*

Specify Other Objective

Sector of interest :*

Specify Sector if Other is selected

LOGISTICS & SUPPORT

Do you have any special dietary needs?*

If you have any dietary restrictions please explain here

EMERGENCY CONTACT

Full Name:

Relationship*

Phone Number:

Number should start with +255...

Email Address:

PAYMENT & CONFIRMATION

The participation fee is USD 2,300 (approx. TZS 6,325,000), covering return flights, 3-star hotel (BB), insurance, site visits, local transport, and the conference fee. I confirm that I agree to the above terms and will pay the full fee.*

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Agree

Decline

Mode of Payment*

Bank Transfer

Mobile Money (M-Pesa, Tigo Pesa, Airtel)

Other

DECLARATION

I declare that the information I’ve provided is true and complete, I agree to comply with the trip code of conduct and responsibilities*

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Agree

Decline

Hear about forum*

REGISTRATION FORM

Transformative Business Trip to South Africa & ICCC Africa Regions Conference

PERSONAL INFORMATION

PROFESSIONAL/BUSINESS INFORMATION

EXPECTATIONS & INTEREST

LOGISTICS & SUPPORT

EMERGENCY CONTACT

PAYMENT & CONFIRMATION

DECLARATION

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Our Services

Contact Info

Registration

REGISTRATION FORM

Transformative Business Trip to South Africa & ICCC Africa Regions Conference

PERSONAL INFORMATION

PROFESSIONAL/BUSINESS INFORMATION

EXPECTATIONS & INTEREST

LOGISTICS & SUPPORT

EMERGENCY CONTACT

PAYMENT & CONFIRMATION

DECLARATION

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Useful Links

Our Services

Contact Info