INDEPENDENCE PROMO FORM

Name *

First

Last

Date of Birth *

Gender *

Nationality *

Email *

Phone Number *

Educational background (Highest certificate level) *

Occupation *

What program are you applying for? *

Program Fee (School of Engineering) *

Program Fee (School of Product) *

Program Fee (School of Creative) *

Do you have access to stable electricity and data? *

Referral Code

Do you have a laptop? *

How did you get to know about us? *

Are you available to commit to the full duration of the program? *

I pledge to make the most of this opportunity by dedicating myself wholeheartedly to my studies, attendance of all classes sessions and projects. *

Agree

Please note that all payments made for this program are non-refundable. Once payment is confirmed, there will be no refunds issued under any circumstances. *

Agree

Skilharvest reserves the right to modify or alter the program content, schedule, or format at any time, at its sole discretion. Any changes made will be communicated to participants in a timely manner. *

Agree

Thank you for the information. You're just one step away from accessing your school page, where you can find more details about your chosen program. *

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INDEPENDENCE PROMO FORM

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