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REGISTRATION FORM

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UNIVERSITY OF ILORIN

DEPARTMENT OF MASS COMMUNICATION

DOCUCOMPETE FIESTA JUNE 2020

REGISTRATION FORM

 

Institution:          ___________________________________________________________________

 

Department:      ­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­____________________________________________________________________

 

Title of Documentary (Not more than five words): _________________________________________

 

Proposed Number of Attendees from your Institution (Maximum of three staff members and 10 students):           _____________________________________________________________________

 

Details of Corresponding Delegate

Name & Office:  ­­­­­­­­­­­­­­­­­­­­­­­­­­­____________________________________________________________________

 

E-mail:                  ­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­_____________________________________________________________________

 

Phone:                 _____________________________________________________________________

 

Signature:           _______________________                                       Date:     _______________________

               

 

*Please note that the completed form should be submitted along with a synopsis of your proposed documentary and scanned copy of payment teller or evidence of funds transfer to docucompetenigeria@gmail.com