AfreHealth - Institutional Registration Form

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Institutional Membership Form

Name of Institution(*)

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Principal area of operation / activity (Please tick or type where applicable)

EDUCATION

(i) Health(ii) Sciences(iii) Liberal Arts(iv) Law Invalid Input

Others – supportive (funding, logistics)

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RESEARCH

(i) Health (ii) Sciences(iii) Education Invalid Input

Other(s) – support (funding, logistics)

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Applied Professions / Disciplines (Nutrition/Dietetics, Physiotherapy, Rehabilitation, Social Works, etc.)

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Non-profit / Non-Government Organizations – NGO (specify type)

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Other(s) (specify details, etc.)

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Address of Institution

Physical / Legal address (Street, City, Country)

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Official Contacts (Telephone, Website / e -mail address , etc.)

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HQ address in Africa (o cially registered)

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HQ address (International, outside Africa)

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Status of Applicant

GovernmentPrivateBusiness Invalid Input

Other (specify)

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Source(s) of funding for over-all operationa of the Applicant (etc.)

GovernmentPrivate Invalid Input

Other, Specify

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How does your insitution hope to benefit from AFREhealth membership?

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How do you think AFREhealth will benefit from your membership?

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Name

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E-mail(*)

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Position

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Signature

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Date

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Latest News

Update on Ebola Virus Disease in Democratic Republic of the Congo 17 February 2020

4th Annual Symposium 15 January 2020

AFREhealth appoints new Finance Manager 09 December 2019

Consultant - Membership Development, Marketing and Strategic Communication 14 November 2019

AFREhealth Symposium Summary - Africa Health Journal 08 November 2019

About us

The African Forum for Research and Education in Health (AFREhealth) is an interdisciplinary health professional grouping that seeks to work with Ministries of Health, training institutions and other stakeholders to improve the quality of health care in Africa through research, education and capacity building.

Past Symposia

Symposium 2018 - South Africa
Symposium 2017 - Ghana

Contact Us

Tel: +233508351306 / +233555324168
Email: afrehealth@gmail.com | info@afrehealth.org

Copyright © 2020 The African Forum for Research and Education in Health. All Rights Reserved.

Home
About us
Opportunities
Conferences and Events
Media
Documents
Registration
- Individual Membership Form
- Institutional Registration Form
Contact us