Full time students and U18s

Renewable yearly. (AfHEA’s fiscal year is JULY-JUNE)

Note: Payment includes one-time admin fee ($20) and a year’s membership fee ($50).

Terms:

1 Year for $70 then $50 / Year

First Name:* First Name Required

Last Name:* Last Name Required

Address Line 1:* Address Line 1 is Required

Address Line 2: Address Line 2 is not valid

City:* City is Required

Country:* Country is Required

-- Select Country -- Ghana Afghanistan Åland Islands Albania Algeria Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belau Belize Benin Bermuda Bhutan Bolivia Bonaire, Saint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo (Brazzaville) Congo (Kinshasa) Cook Islands Costa Rica Croatia Cuba CuraÇao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Gibraltar Greece Greenland Grenada Guadeloupe Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Republic of Ireland Isle of Man Israel Italy Ivory Coast Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao S.A.R., China Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Norway Oman Pakistan Palestinian Territory Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Barthélemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Martin (Dutch part) Saint Pierre and Miquelon Saint Vincent and the Grenadines San Marino São Tomé and Príncipe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia/Sandwich Islands South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom (UK) United States (US) Uruguay Uzbekistan Vanuatu Vatican Venezuela Vietnam Wallis and Futuna Western Sahara Western Samoa Yemen Zambia Zimbabwe

State/Province:* State/Province is Required

Zip/Postal Code:* Zip/Postal Code is Required

Title: Title is not valid

Mr.Mrs.Ms.Dr.Prof.Other

Secondary Email: Secondary Email is not valid

Telephone Number:* Telephone Number is Required

Mobile Phone Number: Mobile Phone Number is not valid

Postal Address: Postal Address is not valid

Gender: Gender is not valid

Male Female

Institutional Affiliation:* Institutional Affiliation is Required

Position Held: Position Held is not valid

Preferred Method of Payment: Preferred Method of Payment is not valid

Online (Credit/Debit Card)Offline (Bank Transfer, etc.)

AfHEA Conferences Attended: AfHEA Conferences Attended is not valid

Sixth Scientific Conference (Virtual)Fifth Scientific Conference (Ghana)Fourth Scientific Conference (Morocco)Third Scientific Conference (Kenya)Second Scientific Conference (Senegal)Inaugural Conference (Ghana)None

Highest Level of Education:* Highest Level of Education is Required

Bachelor's DegreeMaster's DegreeDoctorate DegreeOther

Area of Educational Training (e.g. economics, public health etc.): Area of Educational Training (e.g. economics, public health etc.) is not valid

Top 4 Areas of Expertise (e.g. RMNCH, healthcare financing etc.): Top 4 Areas of Expertise (e.g. RMNCH, healthcare financing etc.) is not valid

Member Directory (to enable member networking on the AfHEA website): Member Directory (to enable member networking on the AfHEA website) is not valid

Yes, limited (Name, Institution) Yes, extended (Name, Institution, Contact, etc.) No

Email:* Invalid Email

Password:* Invalid Password

Password Confirmation:* Password Confirmation Doesn't Match

Password Strength  Password must be "Medium" or stronger

Terms: 1 Year for $70 then $50 / Year

 

Description	Amount
Student Member – Initial Payment	$70.00
Total	$70.00

Offline Payment

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