AHA Conference 2024, Dimapur Individual Delegate Registration Form Registration money can be submitted at the conference venue. * Required (Mandatory Fields) Name First Name * Last Name Mobile Number * Email Address * Age * Sex * Select Gender Male Female Occupation * Pastor Evangelist Missionary Leader in any Capacity Believers Town/City * State * Church Name Date of Arrival * Arrival Approximate time Date of Departure * Choose your preferred accommodation Guest House – Self Arranged Hotel – Self Arranged Other Note: Suggestion for Hotels/Guest House can come from our side