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passport
EIR-INTERWEAVE NIGERIA OFFICE size
Behind INEC Quarters,Guzape District,Asokoro,Abuja photograph
TEL: +2348121829033 E-MAIL:eir.interweave@gmail.com
Address ______________________________________________________________________________________
(City) (State)
E-mail Address ________________________________________________________________________________
Birth Date _________________ Marital Status: Single ____ Married ____ (__________________________)
(Maiden name)
Have you ever taken a course on business entrepreneurship? No ___ Yes ___ When? _______Student ID _______
(if known)
Workshop Amount
Number Workshop Title & Date Enclosed
1
EIR-INTERWEAVE MBS BUSINESS CERTIFICATION TRAINING
REGISTRATION OPTIONS:
1. By mail:
Mail completed registration form and non-refundable evidence of registration payment deposit for
engagement to:eir.interweave@gmail.com or to the corporate office as stated above.
2. By phone:
Call the Office at 08121829033 and register. A non-refundable deposit by debit/ATM card is required.
CANDIDATE'S STATEMENT
I declare that the above information is true and correct. I also declare that, to the best of my knowledge, my health
allows me to undertake the proposed study programme. I also take note that if my application is accepted I shall have
to undergo a training and all training materials will be at my own expense, according to instructions received from
EIR-INTERWEAVE, and that my participation in the course will be conditional upon the satisfactory results of this
examination. I also declare that I will be returning to my current employer, on completion of the course.