Training request form

Please print this form, fill out and send  to:

Wondirad Seifu , P.O.Box: 12712, Addis Ababa, Ethiopia

1. Address

Organization's Name:                                                                                       

District:                                                             City:                                                    

P.O.Box:                                                          Tel:                                                      

Email:                                       Web site:                                             ___________

     2. Please put “x” indicate your choice.

      a) The Four-days training ______

      b) The Half-day training _______

      3. Number of participants:                      

      4. When do you like to hold the training?

From___________ to ______________ 2005

      5. Where do you like to be the venue of the training?

a) At your organization's premises _____

b) At a venue of your choice        _____

Please indicate the venue:

Requested by:                                                  

Position:                                                          

Signature:                                                        

Date:                                                                                                                 Official stamp here

For further information, feel free to contact us at Tel: 222038; 09/203452.

Email: [email protected]

Thank You!