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Print the form , fill it and fax it to us FINANCIAL
INFORMATION : APPLICATION FORM (Print the form, complete in Block Letters and Fax it to us) Course
Title:
. Course
Date:
... Title
First Name:
.
Surname:
.
.
.....
........ Position:
...
..
Organization:
..
Academic
/ Professional Qualifications:
.
.
.
. Postal
Address: .
...
.. Postal
Code:
..
City
.
..
.....
...
Country
.
..
..
Telephone:
.
.Fax
....
.
.
Email:
.
.
How
did you come to know about ACMDET?
.
......
..... Applicants
Signature:
..... Date:
..
..
.. TO
BE COMPLETED BY THE EMPLOYER OR SPONSOR Approving
Authority:
.
...
I
commit my organization to pay ACMDET
the programme attendance fees of . Signed:
.
.
.
... Name:
.
...Position:
.
.. Telephone:
...
.
.
.Fax..
..
. Date:
.
.
. (Official
Stamp) Completed
applications should be forwarded to:- |
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Send mail to acmdet2005@yahoo.com or acmdet@swazi.net with
questions or comments about this web site.
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