Africa’s Innovation. The World’s Future.

Delegate Registration Form

Twelve sections covering personal information, contact details, professional information, industry and areas of interest, participation interest, experience and contribution, business and investment interest, business or innovation profile, accessibility requirements, communication and media, documents, and declaration and consent.

Welcome to the official Global Innovation Summit (GIS) Delegate Registration Form. The Global Innovation Summit is an international gathering bringing together government leaders, business executives, investors, entrepreneurs, innovators, researchers, academics, technology leaders, development institutions and emerging leaders to explore innovation, technology, enterprise, investment and transformative solutions. This form collects information for delegate registration, participant profiling, programme planning, stakeholder engagement and Summit communication. Please provide accurate and complete information. Submission of this form does not automatically guarantee admission, speaking opportunities, investment, partnership or participation in restricted Summit programmes.

Section 2: Contact Information

8. Email Address *9. Mobile / WhatsApp Number *10. Alternative Contact Number

11. Preferred Communication Channel *

EmailWhatsAppPhoneSMS

Section 6: Professional Experience & Contribution

23. Briefly describe your professional, academic or entrepreneurial background. *24. What expertise, knowledge or experience could you contribute to the GIS community? *

25. Are you currently involved in an innovation, technology, research, business or development initiative? *

YesNo

26. If yes, briefly describe the initiative.

27. Would you be interested in contributing to GIS as a mentor, expert or industry resource?

YesNoMaybe

Section 9: Accessibility & Special Requirements

37. Do you have any accessibility requirements? *

YesNo

38. If yes, please specify.

39. Do you have any dietary requirements? *

NoneVegetarianVeganOther

40. Please provide any other relevant requirements.

Section 11: Documents

44. Upload Professional Profile / CVAccepted formats: PDF, DOC, DOCX. Maximum: 1 file.PDF, Word, JPG or PNG — up to 10 MB.

45. Upload Professional PhotographAccepted formats: JPG, JPEG, PNG. Maximum: 1 file.PDF, Word, JPG or PNG — up to 10 MB.

Section 12: Declaration & Consent

46. Accuracy of Information *

I confirm that the information provided in this form is accurate and complete to the best of my knowledge.

47. Registration & Participation Terms *

I understand that submission of this form does not automatically guarantee admission, speaking opportunities, investment, partnership or participation in restricted GIS programmes. Participation is subject to the applicable requirements and confirmation by the Global Innovation Summit Secretariat.

48. Media Consent *

I consent to being photographed, filmed or recorded during GIS activities and to the use of such material for official Summit documentation and promotional purposes.I do not consent.

49. Data & Communication Consent *

I consent to the Global Innovation Summit Secretariat using the information provided for registration administration, programme planning, stakeholder engagement and official Summit communication, subject to applicable privacy and data-protection requirements.

50. Final Comments

Your information is stored securely and used only for the purpose stated above.