Names and affiliations of other
South African researchers/students to participate in the activity （add rows where required）
Full name
| Current Academic Qualification
| Institution
| Race & Gender
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Signatures （All copies submitted should contain the original signature of the submitting Principal Investigator， that of his/her Head of Department as well as the Research Authorising Officer of his/her institution.
Principal Investigator Name：
|
Position：
|
Signature：
| Date：
|
Department Head Name：
|
Signature：
| Date：
|
Research Authorising Officer Name：
|
Signature：
| Date：
|
