(Founded in 1984 and Established under part c of decree 1 of
1990) . APPLICATION FOR ADMISSION INTERNATIONAL TRAINING CENTER
km 43, Agbo Malu Bus Stop,
I here apply for .................................................................................... programme of the institute. I agree to abide by the rules and regulations. I certify that the particulars contained in this application form are true and that i am prepared to verify them if required. DATE: SIGNATURE: SURNAME: OTHER NAMES (FULL): POSTAL ADDRESS: RESIDENTIAL ADDRESS: E-MAIL ADDRESS: NATIONALITY: AGE: TELEPHONE NUMBER (IF ANY):
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