HONORARY DOCTORATE REGISTRATION FORM

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Dear Sir, Madam,


I would like to secure admission for the programme.


Please fill your details in Block Letters Only.

Name
Gender

Address for Correspondence

Address
Email

Other Details

Language Proficiency
Tax Payer Status

Highest Education Details

Work Experience

Social Activity

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Declaration

I wish to be considered for the Doctorate Award offered by MINDSTOFE SOLUTION HUMAN DEVELOPMENT COUNCIL and declare that the information submitted is covered and complete. I understand that the information provided from any institution or organizations I have been associated with . I understand that the information contained in this application may be disclosed to employees organizations ,and references in circumstances when such discloser is deemed necessary or desired by the Council . I understand that the Council reserves the right to change any decision made at any time should the information provided by me prove to be false or incomplete . I have been inform and understand the details of the Docotorate Award, including the criteria, duration, and associate requirements. I confirm that I possess the necessary qulafications and resources to successfully complete the program.