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NIGERIAN INSTITUTE OF ADVANCED LEGAL STUDIES LAW SUMMIT

VENUE: CONGRESS HALL, TRANSCORP HILTON, ABUJADATE: 03 – 06 JUNE 2013TIME: 10:00 a.m. DAILY

APPLICATION FORM

Notes for email submissions:

1. Please save this application form (MS Word file) under a different name, including your full names. Applicants should use this format to save the form- Adekunle Adedeji NLS Doc. ‘Adekunle being the first name and Adedeji, the family name.

2. Please enter the required information into the MS Word file and, upon completion, send as an email attachment to nls@nials-nigeria.org or by post to our Abuja office: Nigerian Institute of Advanced Legal Studies, Supreme Court Complex, Three Arms Zone,P.M.B 385, Garki-Abuja.

3. Please do NOT convert the MS Word file into docx., pdf. or any other format.

PERSONAL DETAILS:

Surname:Other Name (s):

NLS/Doc/2

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Gender: M/F:Date of Birth:Contact Address:City & Zip/Postal Code:Country:Nationality:Telephone:Profession/Qualifications:Employer:

Please Indicate the Days and Sessions you wish to participate in and the topic(s) of the session that interests you (kindly refer to the programme to view the different sessions and panelists/speakers)*

Days Session Topic of Interest

03- 06 -2013

04- 06 -2013

05- 06 -2013

06- 06 -2013

*Please note that some of the panelists/speakers may have to be changed where their confirmation/ papers are not received.

Purpose for Attending the Summit (please briefly state why you wish to attend the summit and )

How did you hear about the NIALS Summit 2013?

Newspaper Advert (Where)

Word of Mouth NIALS Website

NIALS Facebook page

Others (Please state)

Signature of Applicant(Your Name/ Initial is Sufficent)

NLS/Doc/2

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Date:

For Official Use Only

PARTICIPATION APPROVED Yes No

NLS/Doc/2

Comments

OFFICIAL USE ONLY DATE