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Full Name Email Phone Number Company/Organization Country of Residence Afghanistan Åland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia, Plurinational State of Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, the Democratic Republic of the Cook Islands Costa Rica Côte d'Ivoire Croatia Cuba Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic Republic of Iraq Ireland Isle of Man Israel Italy JMJamaica JPJapan JEJersey JOJordan KZKazakhstan KEKenya KIKiribati KPKorea, Democratic People's Republic of KRKorea, Republic of KWKuwait KGKyrgyzstan LALao People's Democratic Republic LVLatvia LBLebanon LSLesotho LRLiberia LYLibya LILiechtenstein LTLithuania LULuxembourg MOMacao MKMacedonia, the former Yugoslav Republic of MGMadagascar MWMalawi MYMalaysia MVMaldives MLMali MTMalta MHMarshall Islands MQMartinique MRMauritania MUMauritius YTMayotte MXMexico FMMicronesia, Federated States of MDMoldova, Republic of MCMonaco MNMongolia MEMontenegro MSMontserrat MAMorocco MZMozambique MMMyanmar NANamibia NRNauru NPNepal NLNetherlands NCNew Caledonia NZNew Zealand NINicaragua NENiger NGNigeria NUNiue NFNorfolk Island MPNorthern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory, Occupied Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Réunion Romania Russian Federation Rwanda Saint Barthélemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan, Province of China Tajikistan Tanzania, United Republic of Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela, Bolivarian Republic of Viet Nam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Role in the Organization CEO/Founder Executive Investor Policy Maker Researcher/Academic Other If Other Please Specify Industry Sector Agriculture Technology Finance Healthcare Education Manufacturing Other If Other Please Specify What are your main objectives for attending the conference? Networking Investment Opportunities Learning and Development Partnership Opportunities Other Which conference components will you attend? Conference Day 1 Conference Day 2 CEO Roundtable Night An exclusive post-conference event for business leaders to explore investment opportunities and strategies for business integration within the EAC. This night is designed to foster in-depth discussions and networking among CEOs and top-level executives Are you an International Participant Yes No Nationality Afghanistan Åland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia, Plurinational State of Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, the Democratic Republic of the Cook Islands Costa Rica Côte d'Ivoire Croatia Cuba Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic Republic of Iraq Ireland Isle of Man Israel Italy JMJamaica JPJapan JEJersey JOJordan KZKazakhstan KEKenya KIKiribati KPKorea, Democratic People's Republic of KRKorea, Republic of KWKuwait KGKyrgyzstan LALao People's Democratic Republic LVLatvia LBLebanon LSLesotho LRLiberia LYLibya LILiechtenstein LTLithuania LULuxembourg MOMacao MKMacedonia, the former Yugoslav Republic of MGMadagascar MWMalawi MYMalaysia MVMaldives MLMali MTMalta MHMarshall Islands MQMartinique MRMauritania MUMauritius YTMayotte MXMexico FMMicronesia, Federated States of MDMoldova, Republic of MCMonaco MNMongolia MEMontenegro MSMontserrat MAMorocco MZMozambique MMMyanmar NANamibia NRNauru NPNepal NLNetherlands NCNew Caledonia NZNew Zealand NINicaragua NENiger NGNigeria NUNiue NFNorfolk Island MPNorthern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory, Occupied Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Réunion Romania Russian Federation Rwanda Saint Barthélemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan, Province of China Tajikistan Tanzania, United Republic of Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela, Bolivarian Republic of Viet Nam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Passport Issue Date Passport Expire Date Arrival Date Departure Date Upload copy of the Passport: for Visa processing purpose Write comments We're committed to your privacy. 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