Programme:

Please enter your full name (Surname, First Name and Other Names)

Full Name:

Country:

Date of Birth (dd/mm/yy):

Gender:

Name to be printed on your tag:

Employment:

Company Name:

Company Address:

Please separate multiple numbers with commas

Company Phone Number(s):

Current Job Title:

Job Description:

Duration of Job:

Please separate multiple numbers with commas

Personal Phone Number(s)/GSM:

Email Address:

Publications (if any):

Educational Background
Enter below your academic history chronologically including secondary and higher education.

Date (year):

Start

Finish

Location:

Institution:

Qualifications Obtained:

Date (year):

Start

Finish

Location:

Institution:

Qualifications Obtained:

Date (year):

Start

Finish

Location:

Institution:

Qualifications Obtained:

Date (year):

Start

Finish

Location:

Institution:

Qualifications Obtained:

What are your objectives for coming to the programme?

For applicant being sponsored by employer, what are your goals/objectives for sending this applicant for the programme?

How did you first learn about the programme?

Thank you for your interest in our programmes.

All that is left is to make your payment. Do check for the cost of the programme you have registered for.

Please note also that all cheque/draft payment for programmes should be made in favour of Centre for Media and Communication or Bank transfer to any Zenith Bank branch into account number 6016503812.

Thank you.

Please click the button below to submit your application form