Mogalakwena Research Centre Student Group Application Name of University/ Educational Institute Address Country of residence Name of supervisor/lecturer Department Name and email of contact person Please indicate which of the following activities you would like to include in your visit to Mogalakwena Game Reserve to enable us to forward a quote to you. Nature walk Giraffe tracking Birding walk Stargazing Mogalakwena research projects presentations Craft Art workshop – traditional skills Craft Art Village tour Botanica Natural Products tour Ramaswikana village tour Mountain & baobab day excursion Excursion to Mapungubwe National Park World Heritage site Limpopo Predator Park Green Dogs Conservation - demonstration Blouberg Nature Reserve – game viewing and vulture restaurant Page 1 Head Office 3 Church Street Cape Town 8001 [email protected] / +27 (0)21 424 74 88 Mogalakwena Research Centre 2016 Please list any special interests of the group: ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ Number of lecturers: _____________________________________________________ Number of students: _____________________________________________________ Preliminary dates and duration of stay: ______________________________________________________________________ Requirements: Transfers Accommodation Meals (please specify any special dietary requirements) ______________________________________________________________________ ______________________________________________________________________ Laundry Other (please specify): Page 2 ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ Head Office 3 Church Street Cape Town 8001 [email protected] / +27 (0)21 424 74 88 Mogalakwena Research Centre 2016
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