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11
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1
Name of the Delegate
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First Name
Last Name
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2
Date of Birth
*
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Date
Year
Month
Day
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3
ID Number
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4
Email Address
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example@example.com
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5
Level of Education
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Graduate
PI
Diploma
ECD
Other
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6
Employer (Name of the School)
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7
Position in School
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8
Specific Area of Interest in Leadership & Management
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9
Specific Challenge in Management Affecting Your School That You Would Wish To Change
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10
Kindly pay via our Safaricom Buy Goods Till number 508986 then submit.
*
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Post MPESA confirmation code e.g.
PXNDVEHAVD
Post MPESA confirmation code e.g. PXNDVEHAVD
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11
ONLY THOSE WHO HAVE PAID WILL BE ADMITTED
*
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I Understand
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