MLANDIZI ANGLICAN COMPUTING CENTRE
ENROLMENT APPLICATION FORM
1. 
APPLICATION PARTICULARS
APPLICATION PARTICULARSAGE GROUP 1-18 19-25 26 – ABOVE
COMPLETE NAME …………………………………………………………………………………………..GENDER - MALE FEMALE
DATE OF BIRTH ……………………………………
MARITAL STATUS ……………………………………………
NATIONALITY ……………………………………………….
EDUCATION LEVEL …………………………………………………………….. (E.g. primary/secondary)
OTHER TRAINING AND QUALIFICATION …………………………………………………………………… (Answer if any)
SPONSOR’S STATEMENT
I …………………………………………………………………………………………………… Here by agree to financially Sponsor Mr./Mrs./Miss ……………………………………………………………………..
Name of sponsor in full ………………………………………………………………………………..
Address of Sponsor ……………………………………………………………………………………
Tel No: …………………………………………………………….
Signature of Sponsor ………………………………………………………….
Date Of Signing …………………………………………………………………
Official stamp if any
Name of student in full
Signature of student
Date of signing ……………………….
PAYMENT PLAN
| MODE | TICK |
| Full payment | |
| Half payment | |
BALANCE OF FEES:
The remaining amount of fee will have be paid before the half of the course finished
RESIDENTIAL ADDRESS:
City/Municipality/Town: …………………………………………………..
Street name /Area: ……………………………………………………………..
Name of ward/ ………………………………………………………………….
Note: any payment made and receipted in respect of training costs shall not be refunded under any circumstance .
APPLICATION FORM TSHS 3,000/=
