TPC APPLICATION FORM

Full Name of Applicant *

PlusAfri Wallet Username *

Gender *

Male
Female

Marital Status *

Single
Married
Separated
Divorce

WhatsApp No. *

Email *

Which country do you reside in? *

State/Region/Province * *

Name of your Ministry/Institute/Organization *

Your Expectation from our organization *

Signature *

Write your full name in capital letters

Attestation *

Tick

I promise to abide by the rules and regulations guiding my training and subsequent appointment. I promise to display a very high sense of responsibility. I agree that my Certificate could be withdrawn at any point in time if I go contrary to the deeds of contract binding this relationship.