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Pre-registration Form
Pre-Registration Form (Fiche d’ Inscription) PHOTO J Prompt For further inf Training Director T ormation or guidance on selection, please contact: el: 021-256465 or 024-6867145 SMS T ext: 024-4287407 Please Note: All sections must be completed in full to qualify for consideration. Telephone number and email for future communication must be provided. Full Name:………………………………………………………………………………...............................................…… Phone:……….......………...…..…..............................………… Email: ………………….………..............….……………. Date of Birth: .................................................. Place of Birth………............…....……….......………. Nationality:...................................................... Male Courses available (please make your choice) Cours disponibles(s'il vous plait faites votre choix) Information Technology Business Practical Electronics Practical Network Graphic Designing Programming Practical Hardware PC concept & Ms Office AutoCAD Marketing Website Development Medical Assistant English French Cisco Comptia Microsoft Others Course details:……..............................…………........…………………………… Female Desired Certificate or Diploma Certificat ou Diplome désiré Short Practical Training Certificate Course Diploma Course Advance Diploma Course Long Term Training Certificate Course Diploma Course Advance Diploma Course Long Term Life Experience Certificate Course Diploma Course Degree Course Masters Course MBA Mode of training-Mode de formation Campus Learning Distance Learning E- Learning ..........……...........................................…………........…………………………… Please confirm your registration by submitting the present form at J~Prompt head office Accra Circle Ghana within two weeks; otherwise, the present form shall be invalid. Veuillez confirmer votre inscription en soumettant la présante fiche à la direction générale de J~Prompt située à Accra cercle Ghana dans un délai maximum de deux semaines; faute de quoi la présente fiche sera invalide. Fees paid are not Refundable and non Transferable. Add Two Passport size photographs to Registration Form Student's Name:___________________________________________ Date: _______________ signature_________________ Tel/Fax:021-256-465, Cell:024-6867145, Website: www.jprompt.com, Mail: [email protected]
