REGISTRATION FORM
2020 SUMMIT & AGM REGISTRATION FORM
Email address *
First Name: *
Last Name: *
Gender *
Required
Alternative email address
Physical / postal Address
NRC: *
Membership Category
Clear selection
Whats-app Contact-line : *
Any other Contact-line : *
Town: *
Job Title
Employer’s Name *
Employer’s contact number
Payment Method (fee K 6,800.00) *
ZIHRM Account details
Sort code : 052001
Swift code : ZNCOZMLU
Account Number : 1087 360 300 101
Account Name : Zambia Institute of Human Resource Management
Branch Name : Lusaka Centre Branch
Bank Name : Zambia National Commercial Bank
I understand and agree that I will have to pay K 6,800 upon submitting my registration details *
Required
A copy of your responses will be emailed to the address you provided.
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