2025 G20 Interfaith Pretoria Planning Meeting

Honorific:

Professional Title:

(e.g., Mr., Ms., Mrs., Dr., Prof., Rev.)

Surname:(Required)

Given Names:(Required)

Gender:(Required)

Birth Date(Required)

Job Title or Position:

Organization/ Institution:(Required)

Nationality as stated in passport:(Required)

Full Name as Stated in Passport or I.D.(Required)

Country of Residence:(Required)

Preferred Email Address:(Required)

Alternate Email Address

Mobile Phone Number (Include Country and Area Code):(Required)

Mobile Phone Number for WhatsApp (Include Country and Area Code):

Name as you would like it on your name badge:(Required)

Do you require an official invitation letter? (e.g. for initiating the visa process)(Required)

Yes

No

Do you have special dietary needs?

Please specify:

Do you have special physical or other needs or concerns?

Please specify:

Do you require any other support or assistance to ensure your participation in the event?

Please specify:

My City of Origin for the Conference Will Be…(Required)

At the event, we plan to provide a program. For that purpose we need to obtain the following:

Enter your name as you would like it to appear in the program:(Required)

Personal Biography (no more than 150 words):(Required)

May we have permission to send you additional communications (e.g., information regarding current and future programmes)?(Required)

I have sent a copy of the picture page of my passport to [email protected](Required)

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