Registration for the information session of the ZECURA Project / Travelling Universities in Africa '22-'23 Name:* Ms.Mr.Dr.Prof. Salutation First Name Last Name Home University:* Umwelt Campus Birkenfeld University of Energy and Natural Resources (Ghana) International University of Grand-Bassam (Ivory Coast) Nelson Mandela African Institution of Science and Technology (Tanzania) Gulu University (Uganda) Al Akhawayn University (Morocco) Ritsumeikan Asia Pacific University (Japan) National Taipei University of Technology (Taiwan) Universidad Panamericana (Mexico) Universidade Positivo (Brazil) CEUMA University (Brazil) Universidade LusĂłfona de Humanidades e Tecnologias (Portugal) Sultan Qaboos University (Oman) Hindustan Institute of Technology and Science (India) Concordia University (Canada) Other Please specify:* IMAT Program SBT Program Other UCB Program Please specify:* Current Academic Program / Status* Undergraduate Student Graduate Student PhD Student Faculty Member Others Please specify:* Area of Specialty / Major:* Email:* PhoneThis field is for validation purposes and should be left unchanged.