ONLINE REGISTRATION -                              ABMA ADVANCED CERTIFICATE & DIPLOMA IN MONITORING & EVALUATION
ABMA ADVANCED CERTIFICATE & DIPLOMA IN MONITORING & EVALUATION

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First Name *
Last Name *
Name on Certificate (eg. Alex Smith)(Ensure spelling is correct as it will be used for your certificate)
*
Date of Birth 
Use this format - (DAY/ MONTH/ YEAR)
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Gender *
Address *
Email *
Whatsapp number (Compulsory to put as you will be added to a WhatsApp course group once course commences) Put 'NIL" if you do not have *
Home/Work Phone Number *
Do you have any disabilities you wish to disclose? If yes please state below. *
Highest level of Education :
*
Work Experience (Company Name/Position/Duration)
Kindly select which course you wish to do (Firstly, kindly ensure your are familiar with the entry requirements before booking one of the below levels) (PAYMENT PLAN INCLUDED) - Contract to be signed by both parties (Nations and student)


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Do you have any disabilities you wish to disclose? If yes please state below. *
I , (Name of Student - please type your name below) understand Nations does not accept Cash Payments and will use one of the Payment Methods below:
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After selecting one of the payment options below and the submission of this form, the next step is to ensure that payment is made. You will be contacted once payment has been made. *
REFUND POLICY *
Captionless Image
Name of Student: *
Signature/ Initials ( for example A.S ): *
Date: *
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DD
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YYYY
How did you hear about this course?
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