SUM COURSE APPLICATION FORM

SUM COURSE APPLICATION FORM
Africa Sustainable Urban Mobility Course

E-mail: sumcourse.abuja@gmail.com

Phone; +2348055994943 Website; www.mobility.ochenuel.com.ng

Apllicant's Photograph
1. Full Name *
(Name of person participating - surname first)
2. Title
3. Position in Office *
4. Organization *
8. Address of your organisation *
9. State your area of specialization *
10. Explain your interest with regards to transport as indicated in 9 above *
11. Date of Birth

Month Day Year
Date
14. State of Origin/Province *
14b. Country *
16. Highest Qualification *
17. Main Field of Study *
18. Years of Experience Relating to Transport *
19. Phone Number *

Area Code Phone Number
20. Email *
example@example.com
21. Choice of Location to undertake your course *

Accra: 22nd to 28th May, 2022 ($850) Lagos: 15th to 19th August, 2022 ($650) Abuja: 20th to 26th November, 2022 ($750) Accra 22-28th May, 2022 non-residential ($450). This option is for participants leaving around the venue in Accra
DOCUMENTS TO ATTACH (as a single file) *

Certificate of highest qualification Personal CV (not more than 300 words in prose) Letter of motivation (if applying by self) Letter of nomination (if nominated by an organisation)
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