Application Form :

Thank you for choosing to attend INCLUSIVES AND HEALTH INSURANCE CONFERENCE FOR AFRICA. ACISP wants to make the process as easy as possible.
  You will need to complete a separate registration form for each individual attending.
  Denotes REQUIRED Fields.

 Title :
 Gender :




 Who will be responsible for Payment?

Special dietary requirements:

 

CONFERENCE PARTICIPATION FEES

- ONLINE ATTENDANCE (VIRTUAL) - USD50 OR 120,000TZS
- PHYSICAL ATTENDANCE - USD150 OR 350,000TZS
Participation Fees should be deposited to:

(FOR TANZANIAN SHILLINGS DEPOSITS)
A/c Name – AFRICA COLLEGE OF INSURANCE AND SOCIAL PROTECTION LTD
A/c No: 0150481024400 at any CRDB branch.

(FOR US DOLLARS DEPOSITS)
A/c Name – AFRICA COLLEGE OF INSURANCE AND SOCIAL PROTECTION LTD
A/c No: 0250481024400 at any CRDB branch.
  All cheques should be addressed to : Africa College of Insurance and Social Protection Ltd.
  Submit the original pay-in slip to ACISP Training Facility at Masaki-Oysterbay, 386 Toure Drive, No.99.