REGISTRATION FORM FOR MICROFINANCE CERTIFICATION PROGRAMME

NB: Fee for the Programme is TZS 500,000/-

Please pay via BOT Account No. 9924191003

Name of the Account: Bank Draft Issued

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* 1. Full Name

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* 2. Gender

Male

Female

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* 3. Mobile Number

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* 4. Email address

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* 5. Postal address and Region

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* 6. Education Level

Secondary Level

High school

Certificate

Diploma

Degree

Masters

PhD

Other (please specify)

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* 7. Years of Experience in Microfinance

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* 8. Employment details (if applicable) - Name of the Organization, Position and Location