Course Registration

SECTION A: PERSONAL INFORMATION

Full Name (required)

Date of Birth (required)

Email Address (required)

Phone Number (required)

WhatsApp Number

Gender (required)

MaleFemale

Residential Address

SECTION B: COURSE SELECTION

Preferred Course (required)

EntrepreneurshipManagement Courses.ICT & Digital SkillsB

If Other, please specify

Mode of Training (required)

OnlinePhysical (Uyo Business School Campus)

Training Schedule (required)

WeekdaysWeekendsEvening Sessions

SECTION C: ACADEMIC & WORK BACKGROUND

Highest Qualification

Work Experience (optional)

Current Occupation

SECTION D: EMERGENCY CONTACT

Emergency Contact Full Name

Relationship

Emergency Phone Number