AFRICAN UNION MEMBER COUNTRIES DELEGATE ICT TRAINING APPLICATION FORM

NAME OF COUNTRY *

Name *

First

Last

AGE OF NOMINEE *

HIGHEST ACEDEMIC QUALIFICATION *

AGE NAME OF

CURRENT COUNTRY OF RESIDENT

ARE YOU WORKING IN A MINISTRY *

NAME OF MINISTRY

ARE YOU COMPUTER LITERATE? *

WHAT IS YOUR AREA OF SPECIALIZATION *

DATE *

WHO IS PAYING FOR YOUR TRAINING