Technology Entrepreneurial Skill Holiday Training Program
Organized by DaPTEP in collaboration with University of Uyo
Student Enrollment Form
1. Personal Information
Full Name
Date of Birth
Age
Gender
Male
Female
Upload Passport
2. Contact Details
Parent/Guardian Name
Relationship
Phone Number
Email
Residential Address
3. Program Selection
Junior Tech Explorers (Ages 5–11)
Young Tech Innovators (Ages 11–16 & above)
4. Training Modules of Interest
Phone Repairs
Laptop Repairs
Web Design
AI in Education
Video Editing
UI/UX Design
Digital Marketing
5. Emergency Contact
Name
Phone
Relationship
6. Medical Information (Optional)
Allergies or Health Conditions
I confirm that the information provided is accurate and agree to the program rules.
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