** Please Fill Out The Below Registration Form:

Basic Information
First Name:
Last Name:
Full Name in Arabic (or as stated in the passport for international attendees)
Nationality:
Gender:
Preferred Title:

Work / Contact Information:
Field Related to NEXUS:
Sector:
Organisation:
Country of Activity:
Job Title:
Email:
Mobile Number:

Other Information:
Specific Requests:
Please Select Your Reason for Attending the NEXUS Conference:
Do You Wish to Speak at the NEXUS Conference?
What are the days of participation that you would like to participate in?
The Unibersity of Jordan