Media Registration

The African Green Revolution Forum(AGRF) recognizes the value of the media for reporting on the Africa’s agricultural future. The Forum considers a press pass to be a working tool to be used only by bona-fide members of the press. The representative journalist must be

(i) a professional journalist with a national press card (or letter from the relevant media house) and

(ii) must be currently employed or engaged as a journalist. Photographers and camera operators may receive accreditation only if with an identified media outlet and having submitted an official request to attend the Forum in their own name.

NOTE: MEDIA, WHO HAVE NOT REGISTERED IN ADVANCE OF THE FORUM, WILL NOT BE ABLE TO ACCESS THE EVENT DUE TO SECURITY REQUIREMENTS.

A media credential request form must be submitted for each representative from your media outlet including photographers/camera operators.

1. Upon acceptance, you will be notified where to pick up your credentials.
2. You will need a photo ID and a business card to pick up your credentials.

Name: *
First Name: *
Last Name: *
Media Organization: *
Address 1: *
Address 2:
City / Town: *
State / Province:
Country: *
ZIP / Postal Code: *
Email: *
Mobile Phone: *
Office Phone: *
Nationality: *
ID/Passport number: *
Title / Position: * (Check all that apply)	Photographer   Reporter   Writer Other:
Media Type: * (Check all that apply)	Magazine   Tv   Newspaper   Radio Online Other:

 

I will be bringing my own still/video camera to shoot the event: *
No    Yes

 

Because of space constraints at the Forum, the number of media that can be accredited is limited. An application may be refused even where all the accreditation criteria are met, in particular on the grounds of capacity.

 

By signing this form, I express my understanding that my request for media credentials for the AGRF has been submitted for review. I understand my request does not guarantee I will receive media credentials and that credentials are issued on a limited basis, are assigned to working media only and are required to access the event.

 

(INSERT ELECTRONIC SIGNATURE AND DATE BELOW)

Signature:
Date:
Enter the Code Shown: *