ACCIMT - Application for Courses
Please fill this application to register for the course
Name of Course/Workshop *
Required
Name in full *
Name to be printed on the Certificate   *
Residential Address *
Contact Number: Mobile/Home *
Email
*
Identity Card Number
*
Qualification
*
Required
Organization/Employer *
Current Position
Other Qualifications
Experience (briefly describe previous experience, identifying types of systems with which you have worked.)
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