Register for an ICOMAA Sponsored Event

Please use this form to register for events sponsored by Ibadan College of Medicine Alumni Association.

To ensure you are registered for the correct event, please select the appropriate session from the drop down list. On completion of your registration, you will receive an electronic confirmation at the email address you will be asked to provide below. Ensure you receive all messages from us by adding to your email clients safe list

Thank you for your interest and support of the ICOMAA and its initiatives.

All fields marked with * are required.

  • Select the Symposium or Workshop you are registering for.

  • Selecting yes allows us to send you periodic information about our programs and initiatives. Registered members are already on our mailing list.

  • Your Name and Professional Information:

    This information will be used to prepare any advance materials (if appropriate) for the event you are registering for.

  • This is a required field Please enter your email so we may contact you as needed.

  • Please tell us who you currently work for or are representing at this event

  • Please tell us your official job title. e,g. Director, Owner, Professor, Manager etc.

  • Contact Phone Numbers

    Only your Primary phone number is required. We will only call you if other forms of communication may affect timely delivery of information to you.

  • Please enter a fax number we may use to sent you related information.

  • Mailing Information we can use to contact you:

    This information is required. If you accepted our invitation above to be added to our distribution list, it will be used periodically to update you about our programs and initiatives. Otherwise, it will only be used to provide information specific to the event you are registering for.

  • Please tell us the preferred mailing address to contact you with symposium or workshop related material. -- This information is required.

  • Attendance:

    ... text here

  • Please tell us if you're coming with guest to the event.

  • Please enter names of guests one on a line.