Saving... ONLINE PEA REGISTRATION FORM PEA REGISTRATION FORMPlease complete this form in block letters NoteCorrespondence with you will mainly be by email. Please ensure that your email address is clearly stated.All sections of this form must be completed in full. Failure to do so will delay registration.This application form must be submitted together with the evidence of payment of processing fee.If submitting online, Please TYPE all your details in this form correctly Click here to Download PEA REGISTRATION FORM PDF Title * Kindly tick one! Dr Mr Mrs Miss Ms Applicant Name * Enter your full name Birth Date * Selecct. Your Date of birth Email Address * valid email Phone Number * Enter Your Phone number Gender * Select Gender Male Female Residetial Address * Address City State Country NIgeria Afghanistan Åland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Brazil British Indian Ocean Territory British Virgin Islands Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cabo Verde Islands Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Côte d'Ivoire Croatia Cuba Curaçao Cyprus North Cyprus South Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Federated States of Micronesia Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea North Korea South Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Réunion Romania Russia Rwanda Saint Barthélemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino São Tomé and Príncipe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten Slovak Republic Slovenia Solomon Islands Somalia South Africa South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States of America Uruguay U.S. Virgin Islands Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands - British Wallis and Futuna Western Sahara Yemen (North) Yemen (South) Zambia Zimbabwe Section 2 – Education and Qualifications Qualification * SSCE OND MASTERS DEGREE POSTGRADUATE DIPLOMA UNIVERSITY DEGREE HND PHD Do you have Professional Qualifications * Yes No Professional Qualifications Max 500 characters Section 3 – Payment DetailsRegistration fee: FREE Tuition fee: N500,000.00 This is a one-time fee payable on or before resumption Sponsorship * Self Sponsored Sponsored by Sponsored name Training Schedule * Weekends Two weeks One week Two days Section 4 Do you have expectation * If yes, What is/are your expectation(s) at the end of the export training programme? Yes No Write your expectation How did you hear about Palmadex Export Academy? * Newsletter Social Media PEA website Radio Email Family/Friend Whatsapp Employer/Colleague Google Search Other Applicant’s Declaration Declaration * I certify that the information given above is to the best of my knowledge accurate in all aspect I agree to abide by the rules and regulations of Palmadex Export Academy Section 7 - Privacy policyPEA respects the privacy of the personal data. We would not disclose, share or transfer your personal information to third parties Passport Photograph upload your photograph Choose File... Max File Size: 1MB · Allowed File Types: jpg,png I agree to the Privacy Policy Submit Form Submitted Successfully!We will contact you as soon as possible. Powered By
