UPEACE Short Course Admission Application Form

Addis Ababa
PO Box 2794, Code 1250
Addis Ababa, Ethiopia

Tel: +251-11-667-0547
Fax: +251-11-6180993

africaprogramme@upeace.org
Short Course Admission AppliCATION Form - GENDER, PEACE AND DEVELOPMENT
- Full Name
  
  First NameMiddle NameLast Name
- Birth Date
  
  MonthDayYear
- Gender
- Nationality
- Passport/ID Number
- Phone Number
  Format: (000) 000-0000.
- Email
  example@example.com
- Present Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip CodeCountry
- Course Selection
- Course Start Date
  
  MonthDayYear
  Date
- Course End Date
  
  MonthDayYear
  Date
- Mode of Study
- Highest Level of Education Achieved
  
  Other
- Please specify
- Field of Study/Discipline
- Institution/Organization (Optional)
- Relevant Work Experience (Optional)
- Payment Information (Who will cover the fees). This course is not free of charge and does not offer any scholarships. Participants are expected to cover the full cost
- Please specify
- Preferred Payment Method
- Please specify
- Declaration and Signature
  
  I hereby certify that the information provided in this application is true and complete to the best of my knowledge. I understand that any false or misleading information may result in the rejection of my application.
- Signature
- Submission Instructions
  
  Please submit your completed application form along with any required documents (CV, academic certificates, and proof of payment) via email to africaprogramme@upeace.org orthrough the online application portal at www.upeace-africa.org. For inquiries, contact +251973172043. Thank you for yourinterest in the UPEACE Africa Programme. We look forward to welcoming you!
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Short Course Admission AppliCATION Form - GENDER, PEACE AND DEVELOPMENT

Declaration and Signature

Submission Instructions