Training Registration Form

BLUE LENS MULTIMEDIA
(PHOTOGRAPHY & VIDEO PROGRAMME)
Registration =N=5,000

Fill in all the required information provided below to register

Full Name

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Sex

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Female

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Date of Birth

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Tribe

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State

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L.G.A:

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Phone:

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Educational Qualification:

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Current Position:

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Contact Address:

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Email:

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Next of Kin:

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Next of Kin Phone

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Upload Passport:

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