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CITN 2021 E-MPTP REGISTRATION FORM
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Surname
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Other Names
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Your answer
Email Address
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Telephone
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Participant Status
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Choose
Member
Non member
Associate Membership Number (For credit hours) Non member to type 0000
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Organisation Name
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SCHEDULED E-MPTP PROGRAMMES - select MPTP of your choice. You can select more than one MPTP schedule
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KANO - NOVEMBER 23, 2021 - N15,000.00
MARKURDI - NOVEMBER 16, 2021 - N15,000.00
Option 3
Other:
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MODES OF PAYMENT
Payment could be made as follows:
- Direct Lodgement/Direct transfer to the Institute’s Access bank account (Account No: 0041893766)
For further enquires/details, please call: Yetunde on 08038825979, Patricia on 08025794496
Amount Paid
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Details of payment (bank paid/teller number/reference number etc)
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Date of payment
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MM
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DD
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YYYY
List MPTP(s) Paid For (e.g Lagos, Kaduna etc)
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