P.O BOX 2190 Mbale, Uganda
+256(0)393280580 ,+44(0)1517959578
info@safri.ac.ug, safri@liv.ac.uk

Expression of interest form

1 Step 1
Contact Details
Phone number(s):
WhatsApp number:
Address (home/ work):
How would you prefer to be addressed? 1. by first name 2. by title 3. By Sur name
Others specify
Broadly, what sort of maternal or newborn health is your organisation involved in?
Have you had any involvement with research before, either as a researcher, participant or member of the study group? 1. Yes 2. No
If yes, specify,
Could you summarise briefly why you are interested in being involved in this initiative?
0 /
Others, specify