REGISTRATION FORM
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Note! All fields marked with an asterisk (
*
) are mandatory
.
*
PREFERRED STUDY LOCATION
LAGOS
OWERRI
Please choose your Study location.
*
PREFERRED TRAINING TYPE
PHYSICAL
VIRTUAL
Please choose your Study location.
Valid first name is required.
*
Valid last name is required.
*
*
OPTIONS:
WEEKDAY
WEEKEND
Option is required.
*
DATE
Date is required.
*
GENDER
MALE
FEMALE
Gender is required.
*
MARITAL STATUS
SINGLE
MARRIED
Status is required.
Valid phone number is required.
*
*
Sponsor is needed.
Recommendation attracts benefit if the recommended person register and pay for a course.
*
If unemployed, kindly indicate.
Valid employer name is required.
Please enter your home address.
*
Valid email address required.
*
COURSES REGISTERED
FULL-STACK WEB DEVELOPMENT
WEB DEVELOPMENT
GRAPHIC DESIGNING
GRAPHIC DESIGNING
SOFT-SKILL TRAINING
EXCEL
COREL DRAW
CATALOGUE
Number of papers:
0
AMOUNT (₦)
0
WEB DEVELOPMENT COURSES
Number of papers:
0
AMOUNT (₦)
0
OTHER TRAINING
Number of papers:
0
AMOUNT (₦)
0
TOTAL AMOUNT (₦)
0
Number of papers:
0
HOW DID YOU KNOW ABOUT THIS TRAINING?
*
WEBSITE
FACEBOOK
TWITTER
INSTAGRAM
ADVERTISEMENT
SMS/EMAIL
A FRIEND
FLYER
OTHER
Please select one of the options.
*
I have read and agreed to the
terms and conditions
SUBMIT
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