UNIVERSITY OF ILORIN

DEPARTMENT OF MASS COMMUNICATION

DOCUCOMPETE FIESTA JUNE 2020

REGISTRATION FORM

Institution:          ___________________________________________________________________

Department:      ­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­____________________________________________________________________

Title of Documentary (Not more than five words): _________________________________________

Proposed Number of Attendees from your Institution (Maximum of three staff members and 10 students):           _____________________________________________________________________

Details of Corresponding Delegate

Name & Office:  ­­­­­­­­­­­­­­­­­­­­­­­­­­­____________________________________________________________________

E-mail:                  ­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­_____________________________________________________________________

Phone:                 _____________________________________________________________________

Signature:           _______________________                                       Date:     _______________________

*Please note that the completed form should be submitted along with a synopsis of your proposed documentary and scanned copy of payment teller or evidence of funds transfer to docucompetenigeria@gmail.com