Symposium Registration Form Symposium Registration Form Africa Mediation Symposium The Institute of Chartered Mediators and Conciliators welcomes you to register for the Africa Mediation Symposium which will take place on 31st October 2024. Theme: Our Theme this year is "Mediation Discourse: Advancing Practices in the African Landscape" Venue: Physical attendance will be at the Nairobi Safari Club, Lilian Towers, University Way, Nairobi, Kenya. The attendance link will be sent out to all the registered virtual participants as we near the conference date. Join us in Nairobi this October and unlock a world of possibilities in the realm of professional mediation. Name* Mr.Mrs.MissMs.Dr.Prof.Rev. Title First Last Gender*MaleFemaleAge*Please enter a number from 18 to 90.Mobile*Email* Enter Email Confirm Email Address* City AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Your profession/ occupation.*Are you an ICMC Member?*YesNoCategory of membership*StudentAssociateFellow charteredN/ASummit attendance category*PhysicalVirtualConference FeeThe registration will only be completed upon payment of a non-refundable registration fee payable to ICMC via: KCB Bank, Account Number 1237805414 Haile Selassie Branch KCBLKENX Swift Code: 01288 or MPESA Paybill Number 522522 Account Number 1237805414 As this is a blended conference, the registration fee varies as follows: -> ICMC Members: KSH 5,500/USD 45 for physical or KSH 3,500/USD 30 for virtual attendance ->Non members: KSH 6,500/USD 55 for physical or KSH 4,500/USD 35 for virtual attendance ->Students: KSH 4,000 for physical or KSH 2500 virtual attendance ->IMI Members enjoy a 15% discount on the non-member category. (USD 47 for physical or USD 30 for virtual attendance) For further information, please contact us via phone on +254 714 390371/ +254 707 124831 or email info@icmc.or.ke Kindly share your payment transaction code.*CAPTCHA