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ROGBANEH INSTITUTE OF INFORMATION & COMMUNICATION TECHNOLOGY
This application form is for full time applicants only
* Indicates required question
Email
*
Your email
The Middle Name
*
Your answer
Parent Name
*
Your answer
PROFESSIONAL COURSES
*
GRAPHIC DESIGN (PHOTOSHOP)
HARDWARE MAINTAINANCE
NETWORKING
WEB DESIGN
AFFILIATE MARKETING.
Required
Address
*
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Phone number
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Email
*
Your answer
Parent Address
*
Your answer
MICROSOFT PACKAGE
*
MICROSOFT WORD
MICROSOFT EXCELL
MICROSOFT POWER POINT
MICROSOFT ASCESS
MICROSOFT PUBLISHER
INTERNET EXPLORER
Required
Parent Contact
*
Your answer
Date of Birth
*
MM
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DD
/
YYYY
Last Name
*
Your answer
Why do you want to learn computer
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Your answer
First Name
*
Your answer
PARENT’S/GUIDIAN’S INFORMATION
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Your answer
A copy of your responses will be emailed to the address you provided.
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