Course Registration for B-TIC Qualification

    1. Surname

    2. First Name

    3. Date of Birth

    4. Gender MaleFemaleOther

    5. Nationality

    6. Address

    7. City

    8. State / Province / Region

    9. Country

    10. Phone Number

    11. Whatsapp Number

    12. Email

    13. Select Your Faculty

    14. Qualification Level

    15. Experience

    16. Current Experience

    17. Previous Experience 1

    18. Previous Experience 2

      19. Declaration I confirm that the information given on this form is true, complete and accurate and no information required or other material information has been omitted.

    19. Signed

    20. Date