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REGISTRATION FORM

VIRTUAL SUMMIT OF YOUNG LEADERS AND ACTORS OF LOCAL DEVELOPMENT IN AFRICA


"African youth, empowerment, security and citizens’ responsibilities": major challenges, difficulties encountered and possible solutions September 04 to 09, 2022 REGISTRATION FORM TO PARTICIPATE IN THE SUMMIT
INSCRIPTION
  1. M.F.
  2. Please explain to us in 10 lines maximum your strategy to open a PCYA-AF branch in your country in less than 2 months before your participation in the summit (before completing this section, we recommend that you consult the information relating on the opening of PCYA-AF branches on our website in the section REPRESENT US, Ref. http://pcyaaf.org/ )*
    Note that if your application is successful, you agree to launch a COPAJE-AF branch in your country no later than 2 months before the Summit.

  3. Attach a copy of your passport or national identity card*


    Attach your CV*


    Attach your photo (passport size) *



    Note : Note: Confirmation and invitations will be sent to participants in time to allow them to prepare.

    By sending my application, I authorize PCYA-AF to collect and process my personal information for the purposes of participating in the Summit of Young Leaders and Local Development Actors in Africa.

    I understand that the information, referred to as “personal data”, include, but is limited to my name, address, phone number, email address and photo.
    photo.

* Mandatory .

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