MISCELANEOUS PROGRAMS REGISTRATION FORM

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LAGOS OWERRI
Please choose your Study location.
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Date is required.
Valid first name is required.
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Valid last name is required.
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MALE FEMALE
Gender is required.
Single Married
Status is required.
Valid phone number is required.
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Sponsor is needed.
Recommendation attracts benefit if the recommended person register and pay for a course.
Input name and phone number of the person.
* If unemployed, kindly indicate.
Valid employer name is required.
Please enter your home address.
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Valid email address required.
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WEEKDAYS (MONDAYS, WEDNESDAYS & FRIDAYS) WEEKENDS (4 SATURDAYS)
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COURSES REGISTERED
TOTAL COURSES SELECTED

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