NEISA 2025 DELEGATE REGISTRATION FORM

Secure your spot at Africa’s premier entrepreneurship and investment summit whether you’re launching your first idea or scaling bold ventures, NEISA 2025 is where visionaries, investors, and changemakers converge.

DELEGATE REGISTRATION FORM NEISA 2025

SECTION 1: PERSONAL DETAILS

This section collects your basic personal information to help us identify you accurately and maintain proper records. Kindly provide correct details as requested to ensure smooth processing of your application.

FULL NAME

GENDER

MALE

FEMALE

DATE OF BIRTH

NATIONALITY

Address

Address Line 1

City

State

Zip Code

Country

Phone/Mobile

SECTION 2: PROFESSIONAL/BUSINESS INFORMATION

This section captures key details about your professional background or business profile. Kindly provide accurate information regarding your occupation, workplace or business name, role/designation, industry, and any relevant registration details. The information supplied will help us better understand your professional or business identity for proper documentation and engagement.

Organization/Business Name (If Representing)

Designation/Role

Sector/Industry

IF OTHERS, PLEASE SPECIFY

Years of Experience

SECTION 3: SUMMIT PARTICIPATION

This section helps us understand how you would like to participate in the summit. Please indicate if you are interested in exhibiting or pitching, select your preferred track(s) of interest, and let us know if you have any special needs to ensure your full participation.

Are you interested in exhibiting?

Yes

Are you interested in pitching (startup)?

Yes

Preferred Track(s) to Attend

Special Needs (if any)

SECTION 4: PAYMENT DETAILS

Please select your preferred registration category. Early bird discounts (20%) apply before November 10, 2025.

CATEGORY – Pathfinder (Basic) Amount – ₦10,000 ACCESS & OBTAINABLES – Admission to plenary sessions. • Access to select panel discussions. • Digital program (PDF). • Networking access during summit hours. • Refreshments during breaks. • Digital certificate of participation. TARGET AUDIENCE – Students, early-stage entrepreneurs
CATEGORY – Trailblazer (Standard) Amount – ₦20,000 ACCESS & OBTAINABLES – • All Pathfinder benefits. • Access to workshops and breakout sessions. • Printed summit program. • Hardcopy certificate of participation. • Refreshments during breaks. • Access to Innovation Pavilion. TARGET AUDIENCE – MSMEs, ecosystem actors, NGOs
CATEGORY – Visionary (VIP) Amount – ₦100,000 ACCESS & OBTAINABLES – • All Trailblazer benefits. • Exclusive access to Investor-Startup Pitching Labs. • Reserved VIP seating. • VIP networking cocktail access. • One-on-one mentorship session. • Branded gift pack (tote bag, notebook, pen, face cap). • Framed VIP certificate of participation. • Access to NEISA Awards Gala Night (regular seating). TARGET AUDIENCE – Scale-ups, policymakers, investors
CATEGORY – Vanguard (VVIP) Amount – ₦200,000 ACCESS & OBTAINABLES – • All Visionary benefits. • Premium VIP seating in all sessions. • Access to closed-door Investor & Policy Leaders Roundtable. • Personalized feature in summit brochure (name + organization). • Private backstage photo with keynote speakers. • Premium executive gift pack (leather notebook, pen set, lapel pin, tote bag). • Two seats at the NEISA Awards Gala Night (VIP table). • Access to post-event NEISA Enterprise Council. TARGET AUDIENCE –C-suite executives, top investors, senior policymakers, sponsors

SELECT CATEGORY

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I hereby declare that the information provided above is true and accurate. I agree to abide by the rules of engagement and participation at NEISA 2025.