Kindly fill in all the required information
Email address *
1. Applicant's Information
Full Name *
Phone Number *
Email Address *
Do you own a laptop? *
Do you own a Smart Phone? *
Have you done any Computer Training? *
Area of Residence *
Year of Birth *
Choose your Constituency *
Choose your Ward *
2. Ajira centres
Please choose the centre nearest to you. Contacts below are for any queries *
The Ajira training goes for 5 days. Please choose your preferred starting date *
3. Education Information
Highest Level of Education *
4. School/College/Polytechnic/University Attended
Institution's Name
Course Attended
Indicate the full name
Year of Completion *
5. Reference
Have you heard of Ajira? *
Why would you like to join this program? *
How would you rank your passion for online work? *
Not Interested
Very Interested
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