General Registration – Propel Africa

Are you currently residing in the UK? *

What are you interested in? *

For more information on this, please visit our Platform’s webpage.

Full Name *

First

Last

Institute / Organisation *

Department / Faculty / Field

Nationality *

As our program is for African nationals, if you identify yourself as one but hold a Non-African nationality – please indicate here your citizenship.

Second Nationality (if African Dual Citizen)

This also includes if you identify yourself as an African but hold a non-African nationality.

Phone

General Registration Form