Register - MX Academy of Technical & Creative Arts

ITRAINING

MX Film & Multimedia Academy Registration Form

RM_Stats

Full Name^*

Gender^*

Nationality^*

Region/State of Origin^*

Date of Birth^*

Marital Status^*

Religion/Faith^*

Address^*

Telephone Numbers^*

Email^*

Guardian/Next of Kin^*

Address of Guardian/Next of Kin^*

Telephone Number of Next of Kin^*

Email address of Next of Kin

Course Applying For^*

Class Applying For^*

Objectives for applying for this course^*

Do you require (a serviced) accommodation? (N30,000 per month)^*

Pledge^*

I agree to be of good conduct and adhere to the organizations rules and regulations. I also understand that failure to comply could lead to the termination of my training program without any refund.

Intended Date of Resumption^*

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Your registration is deemed completed upon payment of a registration fee of Six Thousand Nigerian Naira (N6,000). Once you register, account payment information and other details will be mailed to you. If you do not see the email, check your Spam folder.

Next Training Session is October/November 2019.