BASIC SKILLS ACADEMY:

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BSA Clinic Registration Form

Email *

FULL NAME *

SEX *

MALE

FEMALE

CURRENT POSITION *

EDUCATIONAL QUALIFICATIONS *

TYPE OF TRAINING (CLINIC) *

BASIC SKILLS CLINIC

INTERMEDIATE CLINIC

SPECIAL CLINIC

ADVANCED CLINIC (ADC)

EXECUTIVE CLINIC (EXCLUEPS)

YOUNG EXECUTIVE CLINIC

SNR EXECUTIVE CLINIC

ONE-ON-ONE COACHING

LOCATION *

PHONE NO. (WhatsApp Only) *

HOW DID YOU HEAR ABOUT US?

COMMITMENT: I agree to submit to the instructions from the Basic Skills Academy's Head Coach (or his designates), and I am willing to participate in all legitimate activities and exercises in the fulfilment of successfully completing the programme leading to the award of a graded certificate in digital format, or as otherwise stated. (Kindly Indicate Your Acceptance Below). *

I AGREE

I DISAGREE

Required

You Are Requested To Send "Registered" Via WhatsApp To 08033150547. *

Will Do As Requested

Do Not Have WhatsApp

A copy of your responses will be emailed to the address you provided.

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