4th Annual Busitema University Science, Technology and Innovation Symposium

SECTION A: PERSONAL INFORMATION

1. Title/Salutation *

Other (if selected)

2. First Name *

Middle Name

Surname/Family Name *

3. Gender *

Male Female Prefer not to say

4. Date of Birth (Optional)

5. Passport/National ID (Optional)

6. Country of Origin *

Fields marked with * are required.

SECTION B: CONTACT INFORMATION

7. Email Address *

8. Alternative Email Address

9. Mobile Telephone Number *

Enter the phone number e.g. 256....

10. Alternative Telephone Number

11. Postal Address

12. City/Town *

Country of Residence *

Fields marked with * are required.

SECTION C: INSTITUTIONAL AFFILIATION

1. Institution/Organisation *

Faculty/School/College

Department/Unit *

Position/Designation *

Highest Academic Qualification *

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SECTION D: PARTICIPATION CATEGORY

1. Please tick the appropriate category *

Student Busitema University Staff Staff from other Ugandan University Industry and Private Representative Innovation Exhibitor International Presenter

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SECTION E: THEMATIC AREA OF SUBMISSION

Select one thematic area that best fits your abstract/exhibition *

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SECTION F: ABSTRACT DETAILS

Title of the Abstract *

Key words (4-6 keywords) *

Enter words separated with commas (,). Enter 4-6 keywords.

Type of presentation *

Upload the abstract PDF *

Upload a PDF format of your whole abstract. Maximum words in the abstract should be 350.

Fields marked with * are required. If you resubmit after an error, you may need to re-upload the PDF.

SECTION G: AUTHOR INFORMATION

Corresponding Author Full Name *

Corresponding Author Institution *

Corresponding Author Email Address *

Corresponding Author Telephone Number *

Co-Authors

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SECTION H: ABSTRACT SUBMISSION CHECKLIST

Requirements; Please confirm each item (YES/NO) *

Requirement	Select
The abstract is original work and has not been plagiarized	YES NO
All authors have approved the submission	YES NO
The abstract aligns with the selected thematic area	YES NO
The corresponding author agrees to present if accepted	YES NO
Ethical approval was obtained where applicable	YES NO
The abstract follows the symposium formatting guidelines	YES NO

All checklist items are required (YES/NO).

SECTION I: PAYMENT DETAILS

Participant Category *

Amount Paid (UGX/USD) *

Payment Date

Transaction/Reference Number

Name of Payer

Proof of payment

Attached Not Yet Attached

Upload proof (if attached)

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SECTION J: SPECIAL REQUIREMENTS

Please indicate any special requirements

Disability Support Dietary Requirements ICT/Technical Support Visa Invitation Letter Other

If you selected "Other", specify it below.

Other

Details

Optional section.

SECTION K: DECLARATION

By clicking submit, you hereby certify that the information provided in this submission form is true and correct to the best of my knowledge. You understand that acceptance of your abstract is subject to review by the Symposium Scientific Committee. *

Review and submit.