ICT Training Form

Kindly complete this form with your correct personal details and print out your admission form.

All fields marked with asteriks (*) are required.

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Surname: *

First Name: *

Other Name:

Gender: *

Contact Address: *

Nationality: *

Date of Birth {Optional}:

Phone number: *

Email Address: *

Password (at least 6 characters): *

Confirm password: *

Select Course: *

Mode of study: *

Do you have any previous computer skill? *

If you have previous computer skill, please state your area of specialty:

First name of next of kin: *

Last Name of next of kin: *

Relationship with next of kin: *

Contact Address of next of kin: *

Phone number of next of kin: *

Email Address of next of kin: *

Declaration: *

I hereby declare that the information provided in this form is to the best of my knowledge, true and can be used in my favour during and after the training programme. I also affirm that by completing this training form, I shall be of good conduct as a student of the organisation and abide by the rules guiding all trainees throughout the course of my study.

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