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Professional Diploma Application Form

PROFESSIONAL DIPLOMA PROGRAMS

Upload your Bank Payment *

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Upload your passport *

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Name *

Organization

Years of experience

Field of experience

Upload your evidence of Bank Payment

Gender *

Date of birth *

Marital status *

Phone *

Street Address *

City

Country

Email Address *

PART B: ACADEMIC QUALIFICATIONS

Academic Qualifications *ProfessorPhDMastersMBBS/LLBB.Sc/HND NCE/DiplomaSSCE

Professional QualificationsProfessional CertificateProfessional CoursesProfessional LicensesProfessional TrainingProfessional BodiesProfessional AffiliationProfessional Vocational

Name of School Attended, Year and Qualification *

Name of School Attended, Year and Qualification

Name of School Attended, Year and Qualification

Name of School Attended, Year and Qualification

Name of School Attended, Year and Qualification

COURSES

Credential (Secondary) *

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Attach a copy of your CV *

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Credential (Primary) *

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Credential (Tertiary)

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Referee details

Name *

Organization and Designation

Phone *

Email Address

TERMS & CONDITIONS

The Institute will give all applicants equal opportunity and will attend to them on first come, first serve basis considering the limited spaces available.
The Institute will not guarantee refund of application or registration fees However, with valid reasons, candidates have
the chance to defer their sessions to a later convenient date as appropriate . All payment to be through:
BANK NAME: ZENITH BANK
ACCOUNT NAME: AFRICAN INSTITUTE OF DEVELOPMENT PROFESSIONALS
ACCOUNT NO: 1016843663
All details of registrations fees for short course and academic to be contained in our admission to be received on or
before one week after application is received. Application and registrations fees can be found on section B Part A of
this application form

Accept

UNDERTAKING

I Hereby read and understand the terms and conditions of this application, that all information provided are correct and true to the best of my knowledge

Accept

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