GOGenBio Form | GENOMAC INSTITUTE

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APPLICATION

First Name

Last Name

Email

Code

Phone

Country

City or region you’re representing in your country

What is your current role or title? (e.g., Lecturer, Student Leader, Researcher, Program Coordinator)

Name of your affiliated organization (if any): (e.g., university, NGO, student body, institution, etc.)

Who is hosting GOGeneBio in your community

How do you plan to host the training sessions?

Estimated number of participants you can reach in your region:

Would you be interested in continuing with future Genomac programs after GOGeneBio?

How did you hear about GOGeneBio?

Kindly note that you will be redirected to a WhatsApp Group After Submitting the form

Location

Along Alari Akata Filling Station, Under g, Ogbomoso, Oyo state, Nigeria

+2348077191794

info@genomachub.com

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