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Kindly fill this form to apply for the short courses.

*Required information.
General Information
Course Code: *
Course Title: *
Course Date: *
Name (As you would like it to appear int the Certificate): *
Gender: *
PF No. (for K.U Staff Only):
Email Address: *
Personal Data
Year of Birth:
Nationality:
Postal Address:
Country:
Tel No.:
Mobile No.:
Fax No.:
Course and Work Information
Highest Level of Education (e.g.: Diploma, Higher Diploma, Bachelors, etc):
How many other courses have you taken related to the course you have applied for?
List the courses done, their duration and level of the course (e.g. examination, participation):
Name of Current Organization:
Title & Position at work:
Applicant's Expectations:
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