Nomination Application Form-Cybersecurity Leaders Program G6-2026

Cybersecurity Leaders Program

Nomination Application Form
Full Name

First NameMiddle NameLast Name
Civil ID Number
Enter Your 12 Digits Civil Id Number
Date Of Birth

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Email
example@example.com
Mobile Number
Please enter a valid phone number.Format: 0000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Educational Qualification

Rows	Educational Institution & Country	Education Qualification	From Date	To Date
*
*
*
*

Cyber Security / IT related training completed (SANS GIAC Certificate, IT Training, etc.) (if available)

Rows	Training Name	Professional Certification (if available)	MM/YYY
*
*
*

Occupation

If the applicant has work experience, kindly to fill the following tables:

Rows	Information
Current Job Title
Total Years of Experience
Employer Address
Immediate Supervisor
Employer Phone Number

Work Experience (starting with current job)

Rows	Employer	Department	Job Title	From Date	To Date	Job Description
*
*
*
*

Languages

ARABIC

Rows	Fluent	Average	Poor
Reading
Writing
Conversation

ENGLISH

Rows	Fluent	Average	Poor
Reading
Writing
Conversation

Objective of Joining the Program
Enter your text
Penalty Clauses
·       In case of the participant’s withdrawal during the program period (period of 3 months), he/she shall bear the full cost of the program. In case of failure to pass, the participant shall bear the cost of the period spent in the program.

·       The participant shall declare to be obligated by the general rules and regulations at the training and exams venues at KIBS.

·       The participant shall declare to be bound to code of conduct, and to respect his colleagues, members of the training faculty and the program officers.

·       The participant shall abide with daily attendance for all training programs and related exams at their specified times, and not to be absent except due to unforeseen circumstances, while reporting the case to the concerned authority immediately and providing official evidence of the reasons for absence in order to take the necessary actions.
Required Documents
Copy of the accredited university degree or a transcript for the 2026 graduates

Files Allowed : pdf, jpg, jpeg, png, gif ( Maximum 5mb)
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Copy of the civil ID

Files Allowed : pdf, jpg, jpeg, png, gif ( Maximum 5mb)
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Copy of the nationality certificate from SAHEL

Files Allowed : pdf, jpg, jpeg, png, gif ( Maximum 5mb)
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Recent personal photo

Files Allowed : pdf, jpg, jpeg, png, gif ( Maximum 5mb)
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Nomination letter from the employer (for employees)

Files Allowed : pdf, jpg, jpeg, png, gif ( Maximum 5mb)
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Institute of Banking Studies Rules and Regulations
Consent to Media Usage
Confidentiality and Data Protection
Acknowledgement
Acknowledgement Signature Date

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Signature
Should be Empty:

Cybersecurity Leaders Program

Educational Qualification

Occupation

Languages

Penalty Clauses

Required Documents

Institute of Banking Studies Rules and Regulations

Consent to Media Usage

Confidentiality and Data Protection

Acknowledgement