A member of
PROFESSIONAL DIPLOMA IN PUBLIC RELATIONS AND CORPORATE REPUTATION MANAGEMENT Registration Form (2021). _________________________________________________________________________________________
Name (s): Surname: ID /Passport number: Date of birth: Gender: Cell: Email address: Permanent Address: 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: _________________________________________________________________________________________
Company details: Company name: Post Held in Organization: Company Address: Phone Number: _________________________________________________________________________________________
Fees Structure: Registration fee (non-refundable) - $1,500RTGS Tuition – USD300 per semester. Please call for prevailing RTGS amount before paying. _________________________________________________________________________________________
Ecocash Merchant Code: *151*2*2*15535#
One Money Account: 263 719 795 764
Bank :Stanbic 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 _________________________________________________________________________________________
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: Applicants Signature
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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