COECSA 2026 Registration (Step 2)Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Delegate payment confirmation number *Please enter your PesaPal payment confirmation Gala dinner payment confirmation number *If you are attending the gala dinner, please enter your payment confirmation number. If you are not attending, please input 'not attending' in the text field.Title *Name *FirstMiddleLastEmail *Preferred badge name *Please indicate the name you would like to appear on your delegate pass.Affiliation *Please indicate your affiliation. Country *Please indicate the country where you usually reside. Telephone *Please use the telephone number used at checkout. Email *Do you agree for COECSA and the official congress partners to manage your personal data in accordance with the PDPP Act of Uganda. *I agree and consent to receive congress updates and event marketing informationI agree but do not consent to receive congress udpates and event marketing information(PDPP) Personal Data Protection Proclamation 2025, COECSA and the official Congress partners will only manage your personal data in accordance with the Personal Data Protection Proclamation of Uganda.Are you a member of COECSA? *I am a full member of COECSAI am an associate member of COECSAI am not a member of COECSA requirements? dietary Please select your discipline OphthalmologistNurseMedical OfficerOptometristOrthoptistPractice manager / AdministratorOcularistDr from other disciplineOphthalmic assistantOther registration categoryNon-profit organisationIndustryPlease select the appropriate registration category *Ophthalmologists fellows of COECSAOphthalmologist members of affiliate societies in ECSAAssociate member of COECSA/TOA/OCOA/ ResidentsOphthalmologists from Eastern Central & Southern Africa -Non memberInternational Ophthalmologists (Non ECSA)Accompanying personsExhibitor (Non-profits)Exhibitor (Corporates)Questions or CommentsDo you have any dietary requirements?Have you previously attended a COECSA Congress? *Yes, I attended COECSA 2025I have attended past congressesThis is my first COECSA CongressComplete your registration
