Dar Es Salaam Institute of Technology

Institute Consultancy Bureau (ICB)

P.O.Box. 2958, Dar es Salaam

Phone. 2150174 Fax (255) 022-2152504

Internet: doce@dit.ac.tz

Website: http://www.dit.ac.tz

Registration Form

GIS (Geographic Information Systems) for Urban Planning and Management

Personal Data

Full Name

Date of birth

Organization

Job Title

Educational

Background

Address

Office

Phone

Mobile

Fax

Email

SPONSORSHIP

Name of Sponsor……………………………………………………………………

(Company/Institution).

Address of Sponsor:……………………………………………………………………….

…………………………………………………………………………………………………

Title of Sponsor

………………………………………………………………………………………………..

Signature……………………………………………Date………………………………

Official Stamp

DECLARATION BY THE SPONSOR

I …………………………………………………………………. do hereby declare

guarantee of sponsorship for the above named participant for fees that is

required by the Institute

Fees

Payments should be made in Cash/ Cheque to the Dar es Salaam Institute of

Technology, National Bank of Commerce Ltd, Corporate Branch, and Account

011103005389.

Application fee is neither refundable but it may be transferable.

Registration

To register for this course please fill the registration form and send by Fax/email/Mail

to the Manager, Institute Consultancy Bureau, Dar es salaam Institute of Technology,

P.O. Box 2958, Dar es Salaam, Telephone: +255-(0)22-2150902, Mobile: 0767 555758 /

0754666139 .Email: doce@dit.ac.tz, Facsmile: +255-(0)22-2152504