Apply Online - Rwanda Leadership Development Academy

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PLEASE COMPLETE IN BLOCK CAPITALS
Select Program / Seminar*
Official Names*
Preferred name(s) you like to be called:*
Date of Birth:
Designation:
Company or Organisation:
Time spent in your current designation (Years)*
Domicile Country:
Nationality:
Company Telephone numbers:
Personal mobile number:
Official E-mail Address*
Personal E-mail address:*
Postal address:
Physical address:
Total staff reporting to you:
Average annual turnover (KShs):
PERSONAL ASSISTANT/SECRETARY:
Name:
Email address:
Mobile Number:
CANCELLATION POLICY
All cancellations must be made in writing to the Program Manager. Cancellations made less than 14 days to thecommencement of the seminar, are subject to a penalty of 25% of total program fee.
- I agree to the terms of the cancellation policy as detailed above.
Date:*