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Name of Individual
Country of Residence
Postal Address
Email (Mandatory)
Telephone
Fax
Physical Address
Official title (eg Prof., Dr., Mr., Mrs., Ms., Rev., etc)
State your occupation and briefly describe your key involvements/activities and/or interests in distance education and open learning.  

I certify that the information given above is correct and authorize ACDE to register me as Individual Member upon receipt of my registration fee of US$100.

African Council for Distance Education "ACDE" © 2006
Email us : director@acde-africa.org