TLA Registration Form
TLA Registration Form
Title
- Select -
Mr.
Ms.
Ms.
Dr.
Prof.
Hon.
Engr.
Full Name (As it appears on your International Passport)
Email
Tel/WhatsApp
Gender
- Select -
Male
Female
Select your Age Range
- Select -
1 - 20 Years
21 - 30 Years
31 - 40 Years
41 - 50 Years
51 - 60 Years
60+ Years
Nationality
Current Job Title
Organization/Company Name
Industry/Sector
- Select -
Public/Government
Private/Corporate
Years of Professional / Leadership Experience
- Select -
0 - 5 Years
6 - 10 Years
11 - 15 Years
16+ Years
Highest Level of Academic / Professional Qualification
- Select -
PhD / Doctorate
Master’s Degree
Postgraduate Diploma (PGD)
Bachelor’s Degree
Higher National Diploma (HND)
Preferred Honorary Doctorate Category
(Selection indicates preference only. Final conferment is subject to academic review and approval.)
Doctor of Business Administration (DBA)
Doctor of Management (D. Mgt)
Doctor of Leadership (D.Lead)
Doctor of Entrepreneurship (D.Ent)
Doctor of Public Administration (DPA)
Doctor of Public Policy (DPP)
Doctor of Government (D.Gov)
If selected, are you open to being featured in TLA publications, alumni records, or leadership spotlight?
- Select -
Yes
No
Declaration & Consent
I hereby confirm that the information provided is accurate and complete. I understand that participation and conferment of honors are subject to review and approval by the Academic Review Committee and compliance with the Summit’s standards.
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