Statistical Data Analysis Course


SECTION A: PERSONAL DATA

Surname(*)
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Middle Name (optional)
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First Name(*)
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Contact information
Email(*)
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Cell Phone No.(*)
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Biodata
Gender(*)
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Nationality(*)
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Work details
Employer(*)
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SECTION B: COURSE DETAILS (tick against the course you are applying for)

Option
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​Select Fulltime Dates
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Select Evening Dates
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SECTION C: ACADEMIC PROFILE

List the highest academic/professional qualification. Attach copies certificate
Institution/School Attended (1)(*)
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Certificate/Diploma Obtained(*)
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SECTION D: SUBMISSION OF MANUAL APPLICATION FORMS

If you have chosen to fill in and submit the MS Word application form and NOT this online form, kindly submit it to: The Administrator - DCH/BSC/MPH Directorate of Capacity Building, Amref Health Africa Tel: 254 (0) 20 6993000/3205 or Email: dch.diploma@amref.org

 

SECTION E: DECLARATION BY THE STUDENT

Declaration

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reCAPTCHA
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Submit