MIA Courses Please enable JavaScript in your browser to complete this form.Personal details: (write in capital, please)Full Name: *Date of Birth: *Nationality: *Gender: *MaleMaleFemalePassport number: *FirstMiddleLastAddress for correspondence: *Permanent address if different: *Telephone:Mobile: Email *Proposed area of training: (Example: Business Administration, Leadership, Human resources, Finance, Hospital Administration, Computer sciences, Oil & Gas, Petrochemical Industries, English Language, etc): *Proposed Duration of Training: (weeks): *Required Accommodation during the course: *YesNOProposed starting dateFinancial arrangements:How will your fees be financed? (Government, Employer, Self-payer, Others): Sponsor name: *Contact Name: *Tel: *Fax: *Address: *Email: *English Language proficiency: (optional)Please give details of your English qualifications or evidence of your proficiency in English:Awarding Organisation Award and/or Course Title Date of Award Please give your IELTS/TOEFL Scaled Scores (Total Score: Here):Reading: Listening: Speaking: Writing: Further informationPlease state any further information you may wish to offer in support of your application. (Example: Specialized course(s) required): Submit