JUKWAA LA WASOMI MEDIATION AND PREVENTIVE SECURITY TRAINING SEAT RESERVATION FORM.

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About Us
Objectives
Previous Activities
Contact Us
Upcoming Events
Training Registration

JUKWAA LA WASOMI MEDIATION AND PREVENTIVE SECURITY TRAINING

RESERVATION.

Kindly fill the form below to reserve your seat!.

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Personal Details - Step 1 of 2

Name *

( As they should appear on your Ceritificates )

Title *

Phone *

Email *

ID Number *

Category *

Name of Institution *

University Designation *

TVET Designation *

TTC Designation *

KMTC Designation *

Student Leader Position Title *

Your Title in Your Institution *

University your

Registering for how many people *

Add Another Person

Make sure to add everyone you paid for

You can use (+ Add ) button bellow to another person

Name *

( As they should appear on your Ceritificates )

Title *

Phone *

Email *

ID Number *

Designation *

Student Leader Position Title ( if designation is student leader )

Choose your preferred method of payment below *

Paybill
Cheque
Direct Bank Transfer

Kindly use below payment details.

Paybill: 247247
Account: 244040
Account Name:UCSPAK STUDENT LEADERS ACADEMY

Kindly Paste Below Equity Confirmation Message to reserve your seat. *

Upload Photo of your Cheque *

Click or drag a file to this area to upload.

Ensure cheque details are visible.

Upload Bank Transfer Receipt *

Click or drag a file to this area to upload.

Ensure cheque details are visible.

Polite reminder: Don't forget to carry your cheque when coming for the event!

ADDRESS

Secretariat
Jukwaa la Wasomi
Bruce House, 11th Floor, South Wing
Standard street
P.O Box 30510, 00100 Nairobi, Kenya
info@jukwaalawasomi.co.ke
Tell/WhatsApp: +254 727 666 999 | +254 755 666 999

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