Atinuda 5.0 — Speaker Information Form

We’re delighted to welcome you as a distinguished speaker. This short form (5–7 minutes) helps us prepare logistics, introductions, and promotional materials.

1 Basic Details

Full Name & Preferred Title*

How you’d like to be addressed on stage and in communications.

Email Address*

Phone Number*

Executive Assistant’s Name

EA Email

EA Phone

2 Event Participation

Attendance* Atinuda runs from October 5th–8th. We’d be delighted if you can attend all 4 days. Please indicate your availability:

Yes, I plan to attend all 4 days. I will attend some days (specify below).

Please specify the day(s) you’ll attend.

I reside outside Lagos (enable travel support)

Travel Details

For speakers outside Lagos only: provide intended travel dates so we can assist with ticket bookings.

Means of Identification (Optional)

Upload a valid ID for ticket booking (optional). Max 10MB.

Accommodation & Dietary Preferences

3 Media Kit

High-Resolution Headshot*

Professional photo for program and promotions. Max 10MB.

Professional Bio (150–200 words)*

Upload as PDF or Word (Max 10MB). If you prefer, you may paste a link in the notes below.

A Fun Fact About You*

Preferred Introduction Song

For on-stage walk-up. (Primarily for keynote sessions.)

Short Video (Optional, 30s)

A quick greeting or reflection on creativity/innovation (optional).

Social Media Handles (Optional)

Thank you! Your submission has been received.

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