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Registration Form
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First Name
*
Please enter your first name.
Last Name
*
Please enter your last name.
Email
(Optional)
Please enter a valid email address.
Organization
(Optional)
Please enter your organization name.
Leave blank if you are registering as an individual.
Organization Type
(Optional)
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Individual
Government
Private Sector
NGO
Cooperative
Financial Institution
Farmers Association
Agro-dealer
Development Partner
Investor
Academic Institution
Media
International Organization
Other
Please select an organization type.
Phone Number
*
Please enter a valid phone number.
Title
(Optional)
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Local Delegate
International Delegate
Government Minister
Ambassador/High Commissioner
Regional/Local Government Leader
Government Official
Farmer
Cooperative Leader
Media Representative
Investor Delegate
Committee Member
ITRACOM Staff
Position
(Optional)
Country
*
Please select your country.
Tanzania
Kenya
Uganda
Rwanda
Burundi
Ethiopia
Nigeria
South Africa
Ghana
Egypt
United States
United Kingdom
China
India
Other
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Photo
*
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