APPLICATION FORM

Thank you for choosing to attend the AFRICA' 3RD INSURANCE AND PENSION REGULATORS RETREAT 2024. We want to make the process as easy as possible.

You will need to complete a separate registration form for each individual attending.

 Title :
 Gender :







 Who will be responsible for Payment?


Special dietary requirements:

FEE STRUCTURE

For Early Bird: Both the Training and Retreat costs $900(USD) - Payments should be made before 15th June 2024

Description Mode Fee(USD)
DIRECTORS TRAINING - Fee Per Person (Pre – Retreat Directors Training from the 22th to the 23th July 2024) In Person USD 500 ($)
RETREAT CONFERENCE - Fee Per Person (Retreat from 24th to 26th July 2024) In Person USD 500 ($)
Training and Conference Fees should be deposited to: CRDB BANK
A/c Name – AFRICA COLLEGE OF INSURANCE AND SOCIAL PROTECTION LTD
A/c No: 0250481024400(USD) at any CRDB branch.
A/c No: 0150481024400(Tshs) at any CRDB branch.