Application Form: NAME OF DIPLOMA
Application Form: NAME OF DIPLOMA
CANDIDATE PARTICULARS
Surname…………………………………………….
First Names…………………………………….……
Postal Address……………………………………….
……………………………………………………….
Telephone Numbers ………………………………
Cell number…………………………………………
Email. Address……………………………………..
Spouse / Next of Kin……………………………….
Cell Number ………………………………………………
Present Employer……………………………………
Employer Address…………………………………..
………………………………………………………
Job Title…………………………………………….
Highest Academic qualification:
………………………………………………………
………………………………………………………
Prerequisite for Admission:
At least 5 ‘O’ Level subjects (including Maths and English)
Mature entry is considered for people without some of the above requirement
provided the person has had more than 3 years work experience at managerial or
supervisory level
Signature of Delegate:……………………………………………………..Date:………..
For Office Use
Payment Notes: Receipt Number for payment made
…………………………………………..