Delegate Registration Form Delegate Registration Form - Nigeria–California Trade & Investment Mission 2026 Title Mr. Mrs. Ms. Dr. Prof. Hon OtherOther TitleFull Name (as it appears on passport)Country of OperationSelect CountryAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelauBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDemocratic Republic of the Congo (Kinshasa)DenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRepublic of the Congo (Brazzaville)ReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabweEmailPhone (WhatsApp-enabled preferred)PreviousNextSECTION B: ORGANIZATION DETAILSOrganization / Company NameDesignation / PositionIndustry / Sector Government / Public Sector Financial Services / Capital Markets Energy / Power Technology / Innovation Real Estate / Infrastructure Health / Biotechnology Agriculture / Agribusiness Mining / Solid Minerals Tourism / Hospitality Creative Industries OtherOther Industy / SectorOrganization Website (if any)PreviousNextSECTION C: DELEGATE CATEGORYDelegate Type Government Official Business Executive / Investor Entrepreneur / Founder Diaspora Professional Development Partner Industry Association / Chamber OtherOther Delegate TypeAre you attending as part of an official delegation? Yes NoPreviousNextSECTION D: INTEREST AREAS & OBJECTIVESPrimary Areas of Interest (select up to 3) Investment Opportunities Public–Private Partnerships (PPP) Market Entry into Nigeria Market Entry into California / USA Joint Ventures Infrastructure Development Technology & Innovation Exchange Trade & Export Opportunities Policy & Regulatory Engagement Networking & PartnershipsWhat outcomes are you seeking from this mission?PreviousNextSECTION E: TRAVEL & LOGISTICS (INDICATIVE)Will you require visa support documentation? Yes NoWill you require hotel accommodation at the summit venue? Yes NoWill you participate in official networking receptions and gala events? Yes NoPreviousNextSECTION F: REGISTRATION FEEDelegate Registration Fee Standard DelegateFee includes access to plenary sessions, sector panels, official networking events, delegate materials, and selected receptions.Travel, visa, and accommodation costs are not included unless otherwise stated.Payment Status I will pay immediately I request an official invoice I am part of a sponsored / invited speaker/delegatePreviousNextSECTION G: DECLARATION & CONSENTConsent & Acknowledgment I confirm that the information provided is accurate. I understand that submission of this form does not guarantee participation until payment is informing and confirmation is issued. I consent to the use of my information for event-related communication and documentation.NameSignature (typed)DatePayment Method Pay with Card (Stripe) Pay with PayStackPay with Card (Stripe) Previous Pay Now
