A member of
ZimChartered Marketer Registration Form (2021) _____________________________________________________________________________________ Personal details:
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: Position Held in Organization: Company Address: Phone Number: _____________________________________________________________________________________
Payment Details Sponsor (please tick) PersonalCompany Payment terms (please tick) Full paymentQuarterlyMonthlyOther<
Fees Structure: Program fee – USD400 (Please call for RTGS amount)
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
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.
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 email@example.com also include your payment reference number.
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