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Registration

Please complete the form below to finish your registeration!

Surname: First Name:
Other Names: Sex:
Date of Birth:
Please enter Date of Birth in this format: yy-mm-dd e.g. 2017-08-21
Nationality:
Residential Address:
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Phone Number:
E-mail: School/Occupation
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Highest Educational Qualification:
Church:
Past Media Experience:
What area of the Media interests you most?:
Who sponsored
your coming for this academy?
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Bank deposits slip number:
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