Application form form

HURUMA   CENTER  FOR DEVELOPMENT(HUCEDE)

       TRAINING OPPORTUNITIES

https://www..envaya.org/hucede-tanzania

+255 769 02 91 70  E-mail:hucedetz@gmail.com

1              Name of applicant…………………………………………………….

2            Organisation……………………………………………………………..

3            Organisation type: (NGO/CBO/PSO etc )……………………..

4            Occupation………………………………………………………………..

5            Title…………………………………………………………………………..

6            Age……………………………..place of birth………………………..

7            Nationality………………………………………………………………..

8            Country……………………………………………………………………..

9            Level of education……………………………………………………...

10         Experience in projects and development(Attach short CV)

11           Date of filling application…………………………………………….

DECLARATION

     I,……………………………….whose information appear above, declare to the best of my knowledge that the information and annexes  in para  1-11 above are

really  true,also declare to pay a Sum of US $........... or Tshs…………… being application fee and course fee. Which will be paid after approval and credited  to the development center account or as shall directed by the center Administration.

……………………………………………                       Date( and stamp if any)

       Signature of applicant

FOR OFFICIAL USE ONLY

Date received ……………………………………….

Remarks………………………………………………..

Accepted with reasons…………………………….

………………………………………………………………

Rejected with reasons……………………………..

……………………………………………………………..

……………………………………………………………

Registration Number……………………………..

Fee paid (Date)…………………………………….