Alumni Registration Form

Name in Full(*)
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Your Country
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Year Attended MDI(*)
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Training Location
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Where the MDI Training was held

Place of Work (Organisation)
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Designation (Position/Job Tittle)
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Contact Information
Email (Official):
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Email (Personal):(*)
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Twitter Link
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LinkedIn:
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WhatsApp Number:
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Photographs and other media
During the MDI training and alumni events, officials authorised by Amref Health Africa may take digital recordings, photographs or video footage of you. Any such information taken will solely be used for purposes of reporting and MDI program promotion where no direct reference will be made to an individual or group. I do hereby release to Amref Health Africa, its agents, and employees all rights to exhibit this work in print and electronic form.
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Please Enter the Numbers Shown(*)
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