P.O. Box 1125-30100, ELDORET, Kenya Tel: 053-2063111 Ext. 242 Fax No. 020-2141257 E-Mail: www.uoeld.ac.ke SCHOOL OF ENVIRONMENTAL STUDIES Environmental Impact Assessment/Environmental Audit Short Course Course Application Form JULY 7TH – JULY 26TH 2014 ----------------------------------------------------------------------------------------------------------------------- SURNAME FIRST NAME Date of Birth National ID/Student Registration No. Name of Organization/Institution Current Contacts MIDDLE NAME Nationality: Male/Female Telephone: Fax: E-Mail: Postal Address Academic Qualification Course Applied for 1. Environmental Impact Assessment/Environmental Audit (EIA/EA) Fees payable by 1. Self 2. Institution Date: dd/mm/year Signature Completed registration forms should be received by the course organizer not later than two weeks to the commencement dates for each selected venue. Completed form should be sent to the address: University of Eldoret P.O. Box 1125-30100 ELDORET Email to: Dean SES [email protected] OR EIA Coordinator: [email protected] Cell: +254 0720200671 Call in Person: University of Eldoret, School of Environmental Studies : mmk P.O. Box 1125-30100, ELDORET, Kenya Tel: 053-2063111 Ext. 242 Fax No. 020-2141257 E-Mail: www.uoeld.ac.ke SCHOOL OF ENVIRONMENTAL STUDIES Environmental Impact Assessment/Environmental Audit Short Course Course Application Form 4th Aug to 23rd Aug 2014 SURNAME FIRST NAME Date of Birth National ID/Student Registration No. Name of Organization/Institution Current Contacts MIDDLE NAME Nationality: Male/Female Telephone: Fax: E-Mail: Postal Address Academic Qualification Course Applied for 1. Environmental Impact Assessment/Environmental Audit (EIA/EA) Fees payable by 1. Self 2. Institution Date: dd/mm/year Signature Completed registration forms should be received by the course organizer not later than two weeks to the commencement dates for each selected venue. Completed form should be sent to the address: University of Eldoret P.O. Box 1125-30100 ELDORET Email to: Dean SES [email protected] OR EIA Coordinator: [email protected] Cell: +254 0720200671 Call in Person: University of Eldoret, School of Environmental Studies : mmk
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