Registration Form
Please complete the following form to register
PERSONAL INFORMATION
TITLE
Mr.
Mrs.
Miss.
SURNAME
FIRSTNAME
MIDDLE NAME
DATE OF BIRTH
ADDRESS
TELEPHONE NO
RELIGION
FAX NO
EMAIL ADDRESS
MOTHER'S NAME
EMPLOYER INFORMATION
NAME OF YOUR EMPLOYER
TELEPHONE NO
EXTENSION
NAME OF DEPARTMENT
NAME OF CONTACT PERSON
ADDRESS
TELEPHONE NO
COURSE INFORMATION
PLEASE SELECT COURSE NAME
Professional Certificate In Computer Technology
PC Mechanics (Certificate in Troubleshooting & Repairs)
Presentation Tools
Advanced Excel
Advanced Word-processing
Electronic Project Management
Web Page Design
Certificate In Desktop Publishing & Graphics
Get on the Net - Internet training
Visual Basic Programming
A+ Certification
Professional Certification Training ? MCSE
Professional Certification Training ? MCSA
Professional Certification Training ? MCDBA
Advanced Webpage Design
Basic Certificate in Computing
Practical Networking
Network+ Certification
Professional Certification Training ? MCP
Certified Internet Webmaster Foundation Series
Certified Internet Webmaster Site Designer Series
Certified Internet Webmaster E-Commerce Designer Series
COURSE CENTRE
COURSE DAYS/TIME
REGISTRATION DATE
COURSE DATE
INFOSERV Institute of Technology is a registered tertiary institution with the University Council of Jamaica. The INFOSERV GROUP celebrates its 25th year of providing valuable information and quality services.
PLEASE CHECK APPROPRIATE BOX
COMPANY SPONSORED
PRIVATE
EDUCATIONAL BACKGROUND
DIPLOMA/CERTIFICATE
NAME OF INSTITUTION
DATE
1.
2.
3.
4.
5.
6.
HAVE YOU ANY COMPUTER KNOWLEDGE OR EXPERIENCE?
YES
NO
IF YES PLEASE STATE
N.B. Registration/Processing fees are non-refundable. Course fees will not be refunded once the course has started.
Copyright © 1996 - 2002 INFOSERV Institute of Technology
Tel: 876-960-7530 Fax:876-920-9560 Email:
info@infoservinstitute-edu.com
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