Tobacco Taxation 101 Online Course

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Application Form for Tobacco Taxation 101 Online course convened by the Research Unit on the Economics of Excisable Products at the University of Cape Town, South Africa.

Email *

Record my email address with my response

Title *

Prof.

Mrs.

Other:

Name *

Surname *

Nationality *

Phone number (include country code) *

Type of organization *

Government

Non-governmental organization (NGO) or civil society organization

Academic institution

Other:

Name of organization *

Current Occupation/Position *

Brief description of your role and responsibilities *

Years of experience in tobacco control *

Highest level of education completed *

In complete secondary school

Complete secondary school

Technical college diploma

Undergraduate degree

Honours degree

Masters degree

Doctoral degree

Option 8

Other:

Briefly describe why you are interested in taking the Tobacco Taxation 101 course and what you hope to gain from it (max 200 words)
*

Are you applying as part of a group?
*

Yes

If yes, kindly provide specifics below (such as the group's size and the funding institution's name)

Please note that the course fee is USD500 per person. Select your funding option below:

I am self-funded or have institutional funding available

I wish to be considered for a full scholarship (only limited scholarships are available)

Clear selection

How did you hear about this course? (e.g., website, social media, referral) *

DECLARATION: I declare that I am not currently, nor have I been in the past five years, employed by the tobacco industry or any entity working to further the interests of this industry.
*

Yes

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