 Mr.  Mrs NAME: …………………………………………………………………

 Mr.  Mrs NAME:  …………………………………………………………………  Mr.  Mrs NAME:  ………………………………………………………………… - Start

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 Mr.  Mrs NAME: …………………………………………………………………




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 Mr.  Mrs

NAME: ……………………………………………………………………………………FORENAME:………………………………………………………………................E-Mail………………………………… Phone …………………........Address: ………………………………………………………………………............Zip code: ………….. City: ……………………..Country: …………………. Individual RegistrationRegistration on behalf of an institution…………………………..Address:………………………………………………………………………............Zip Code: ………….. City: ……………………..Country: ………………….

PRE REGISTRATION FORMI, the undersigned,

This pre-registration form is not worth commitment.

It will allow us to contact you as soon as registration is open.

Pre registration form to be returned to the Executive Secretariat before February 28, 2018By e- mail at the following address : nsindagiza2014@gmail.comor by mail at the following address: NSINDAGIZA Organization,P.O Box 5573 KIGALI-RWANDAIf you have any question, please contact: Mrs Beatrice MUSHIMYIMANA at the executive secretariat. Phone number: +250 78 874 96 92\78 850 90 60


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