ACG Consulting Ltd

Financial, Business & Management Consultants

AUDIT TRAINING PROGRAM

APPLICATION FORM
(PLEASE FILL IN CAPITAL LETTERS) SURNAME 1. NAME: 2. TELEPHONE CONTACTS: 3. DATE OF BIRTH: 4. ACADEMIC QUALIFICATIONS (MINIMUM O LEVEL) ACADEMIC INSTITUTION CERTIFICATE AWARDED FIRST NAME MIDDLE NAME

GRADE AWARDED YEAR OF AWARD

PLEASE ATTACH APPROPRIATE TRANSCRIPTS 5. DO YOU HAVE ANY WORKING EXPERIENCE? IF YES, FILL THE TABLE BELOW STARTING WITH THE MOST RECENT: YEAR ORGANIZATION/ POSITION WORK PERFORMED FIRM

6. WHY ARE YOU APPLYING FOR THIS PROGRAM?

7. MODE OF PAYMENT (TIGO PESA/ MPESA/ BANK DEPOSIT): GIVE DETAILS OF YOUR MOBILE PAYMENT AS THEY APPEAR IN THE SMS; NAME USED: DATE OF TRANSACTION: PHONE NUMBER USED: AMOUNT SENT: TRANSACTION NUMBER: 8. REFEREES NAME

OCCUPATION

TELEPHONE

HOW LONG HAVE YOU KNOWN THE REFEREE

AFTER MAKING A NON-REFUNDABLE PAYMENT OF TSHS. 20,000, PLEASE SEND THIS APPLICATION FORM (WITH YOUR NUMBER WITH WHICH YOU MADE PAYMENT) & SCANNED DEPOSIT SLIP (IF PAYMENT IS THROUGH BANK ACCOUNT) TO audit.bma@gmail.com

3 Floor UMATI Building, Corner Samora/ Zanaki St.: PO Box 63214, Dar es Salaam, Tanzania Phone: +255 22 2124 805 Fax: +255 22 2125 169

rd