Program being applied for:
Professional Certificate in Digital Marketing (PCDM)Executive Certificate in Digital Marketing (ECDM)Certified Digital Marketing Expert (CDMEXP)

Personal details:

Name (s):
Surname:
ID /Passport number:
Date of birth:
Gender:
Cell:
Email address:
Permanent Address:

Current Digital Marketing Qualification:
Institution:
Top most Qualification held
University College Institute:
(please indicate below whether you have masters, degree):
PhD/Degree/Diploma name
Year of started:
Year of completion:
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Company details:
Company name:
Position Held in Organization:
Company Address:
Phone Number:
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FEES STRUCTURE:
PCDM: USD300
ECDM: USD150
CDMEXP: USD600
Please call for ZWL price.
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Payment Details:

Ecocash Merchant Code: *151*2*2*15535#
One Money Account: 263 719 795 764

Banking Details
Bank :Stanbic
Account Name :Marketers Association of Zimbabwe
Account No :9140000158460
Branch :Samora Machel Avenue
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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
_________________________________________________________________________________________

Declaration
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.
Date:
Applicant’s signature

Please Note: FOR ALL ONLINE REGISTRATIONS EMAIL THE APPLICATION FORM TO training@mazim.co.zw also include your payment reference number.