CONSULTANCY SERVICE REQUEST APPLICATION TO AMAKA YA BWINGI LTD, WEST MIDLANDS OPEN COLLEGE & LUKOMONAH JOHN UNIVERSITY -GROUP
Form
Review
Thankyou
PERSONAL DETAILS
Title
First Name
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Middle Name
Surname
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CONTACTS
Door Number
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Street Name
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Area
Town
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City
*
PostCode
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UK Residents you should provide this. Outside UK if there is no post code: Put WZ0 000
Country
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Email address
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WhatsApp Number
Mobile Number if different from whatsapp
*
GDPR
Do you consent for us to keep info?
*
Yes or No. If no please do not proceed with the application. Thank you.
CONSULTANCY NEEDS
Tell us about your problem
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Have you got funds upfront?
YES
NO
If you do not have any funds, we are sorry we may not help you. Consider to attend a free web live seminar or check for events calendar on www.amakyabwingi.org or www.westmidlandsopencollege.co.uk or www.ljuni.co.uk
UPLOADS
Upload Any Documents
File
DECLARATION
Declaration
*
Sample you may copy and paste: I declare that the information provide is accurate at the time of my submission. if not this application will be rendered invalid. Other wise I agree that I will be able to provide more information if anything changes in due course.
Date applied
*