Online Registration Form

Please use this form to register your interest in a course and we will evaluate your registration request and contact you shortly.

First name

Last Name

Title

Date of Birth

Email Address

Phone Number

Course of Interest

Preferred Mode of Learning

Preferred schedule

Intended Start Date

Current Employment

Academic Qualifications

How did you hear about CIAPS? (Required)

What were you searching for?
Name of friend/colleague?
Which blog?
Which forum?
Which church/mosque?
Which station?
Specify

Have you applied for a CIAPS programme before? YesNo

I have read and Understood Admission fees and requirement YesNo

Who is Paying your fees?

Today's Date

The Information written above is correct? YesNo

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