UNIVERSITY SCHOLARS
LEADERSHIP SYMPOSIUM

APPLICATION FORM

Personal Details
Click or drag a file to this area to upload.
Important Details

Please write your name in BLOCK LETTERS in this section. Information entered will be transferred to your Conference Badge and Certificate. There will be an administrative fee of USD20.00 if you require us to replace your photograph on the Conference Badge or to amend your Name on the Certificate. Please attach a recent photo with a clear background together with this application.

Educational Level

Administration Fee - USD12.00

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