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REGISTRATION

FORM

International Project Management


(Executive Short-Course)
29 July 3 August, 2013

MZUMBE UNIVERSITY

CHUO KIKUU MZUMB

Name (IN BLOCK LETTERS):

Contact Address:

Academic Qualification (Tick Appropriate) Are you Mzumbe University Student/ Alumni (If yes, provide details) Job Title Tel (With Area Code) Mobile Number (s) E-mail ID 1 E-mail ID 2 Registration Fee (Provide Details): Signature of the Participant

Bachelor

Masters

Doctoral

Others (Please Specify) _________________ Program Year Registration No

Bank Branch Date Amount

Email the completed form to: dcc-shortcourses@mzumbe.ac.tz

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