A member of
Certified Business Leadership Development Program
ID /Passport number:
Date of birth:
Top most Qualification held
University College Institute:
(please indicate below whether you have masters, degree):
Year of started:
Year of completion:
Position Held in Organization:
Sponsor (please tick)
Payment terms (please tick)
Program fee – RTGS$24 000.00 (Subject to change, please call for prevailing rate before payment)
Ecocash Merchant Code: *151*2*2*15535#
One Money Account: 263 719 795 764
Account Name :Marketers Association of Zimbabwe
Account No :9140000158460
Branch :Samora Machel Avenue
Terms and Conditions:
▪ No refund
▪ Fees are not refundable should a student drop out of the program midway.
▪ Venues are subject to change on notice as necessitated by demand considerations.
▪ This registration forms constitutes a contract between the two parties, once signed it is binding on both parties.
▪ Submit proof of payments on all online payments, to Accounts department for verification and capturing.
▪ Once registered you are obliged to pay the full amount, whether you attend lectures or not and whether you complete the program or not.
▪ Full fees must be paid before the examination date.
▪ All approved installments must be paid by the 1st of every month in advance.
Attach the following documents
Copy Identity document, ID or Passport and your CV.
The information supplied is true and I do hereby agree to abide by the terms and conditions of the Marketers Association of Zimbabwe as set out in the registration terms and conditions.
Please Note: FOR ALL ONLINE REGISTRATIONS EMAIL THE APPLICATION FORM TO firstname.lastname@example.org also include your payment reference number.
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