THE DIGNITY CAMPAIGN Dignity Facilitator Training Application
Thank you for your interest in becoming a Dignity Facilitator. Please note that a non-refundable deposit of R300 is required for all applications.

Account name: Dignity Campaign
Bank: Standard Bank
Branch: Blue Route
Account number: 072024135
Branch Code: 025609
Electronic payment code: 051001
Reference: DGC+your surname+date of training

21-23 March, 2019 // Uitenhage, South Africa
Name *
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Surname *
Your answer
Gender *
Age *
Your answer
Nationality
Your answer
Organization/Church *
Your answer
Cell *
Your answer
Email *
Your answer
Area in which you work (Address) *
Your answer
What kind of ministry/service does your church/organization offer women?
Your answer
Special Dietary requirements? *
Please note that this will be a day training and accommodation is not part of the total cost. Please organize alternative accommodation if you are coming from outside Uitenhage. Note that all participants are required to pay a non-refundable registration deposit of R300. Please send proof of payment to info@dignity.org.za to secure your application. *
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