Select *Please select an optionMrMrsMsDr.Prof.OtherFirst Name *Middle Name (Optional)Last Name *Date of Birth *Gender *MaleFemaleMarital Status *SingleMarriedEmail Address *Phone *Company Name *Position *Address *City *Country *Zip Code *Desired Course (Programme) *Online CourseCertificateExecutive CertificateDiplomaCertificationDesignationRecognition of Prior Learning (RPL)Write Course(s) Name in full: *Academic Qualifications (Please list all academic qualifications)Year *Institution *Qualification *Grade *Please attach your academic qualifications *Drag and Drop (or) Choose FilesDeclaration *I do hereby confirm that all the above information, attached documents and any other information supplied are true and shall be bound to consequences related to them if found to be untrue. I also confirm that I have read and understood the information on this form and on the course I wish to register for and have fully understood the terms and conditions. Fees once paid is not refundable nor transferable.I consent to the collection and processing of my data by the Insurance Institute of East Africa for the purpose mentioned above.Submit
