Personal details:

Title
Select your title Mr Mrs Miss Ms Mx Dr

Gender Select your gender Male Female Prefer not to say
Date of Birth
Which address you would like correspondence from the Institute to be sent to? Select location to send correspondence Home Office

Permanent address:

Select the course you are interested in Select a Course Computer Packages Logistics and transport Humaniterian Health and Emergency Logistics Reverse Logistics Community development and Social work Sales and marketing Journalism and Media Studies Software Engineering Hotel and catering management Health Management and safety Retail Management Advanced Project Management Information Communication and Technology CPA Mobile Application Development Music Production and Sound engineering Website Design and Development

Section 2 - Address and education qualifications

Please copy the contents of your CV and paste them below.

Section 3 - Payment details:

All fees payable should be made to the accounts below as the institute doesn’t accept cash payments

Account Name	Account Number	SWIFT	Bank Name	Branch
Centre for Reverse Logistics and Supply Chain Studies	01192800277300	KCOOKENAXXX	Co-operative Bank	Embakasi Junction
Centre for Reverse Logistics and Supply Chain Studies	1320277724955	EQBLKENA	Equity Bank	Embakasi

Section 4 - Declaration     I declare that: The information all the information in this application is factually true and honestly presented and that I’m the person submitting this application.