Strathmore Business School - Apply Online Form

Apply Online Form

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PLEASE COMPLETE IN BLOCK CAPITALS

Select Program / Seminar:*

Official Names:*

Preferred name(s) you like to be called:

Date of Birth:*

Designation:

Company or Organisation:

Time spent in your current designation (Years)

Domicile Country:

Nationality:

Company Telephone numbers:

Personal mobile number:

Official E-mail Address

Personal E-mail address:

Postal address:

Physical address:

Total staff reporting to you:

Average annual turnover (KShs):

PERSONAL ASSISTANT/SECRETARY:

Name:

Email address:

Mobile Number:

CANCELLATION POLICY

All cancellations must be made in writing to the Program Manager. Cancellations made less than 14 days to thecommencement of the seminar, are subject to a penalty of 25% of total program fee.

I agree to the terms of the cancellation policy as detailed above

Date*