Student Registration Form

First Name *

Last Name *

Date of birth *

Gender *

T-shirt Size *

Referral NameOptional

Telephone No.

Email Address

Street Address

City

State/Province

ZIP / Postal Code

Country

Chosen Certification *

Payment Details *

Payment Type *

Bank Deposit Details:

ACCOUNT NAME: Quality Strategy Consulting

BSB: 065145

Account No: 10149540

BIC/SWIFT code: CTBAAU2S

Terms and Conditions *

1. I/we certify that the above information provided by me/us is correct.
2. If paying by installment I undertake to make all 3 payment installments within the required
timeframe
3. I undertake to complete all sections of the course within 180 days from enrollment
4. I,.......................................................................................... promise to adhere to the rules,
regulations, terms and conditions of the Institute of Fitness Ghana

Student Registration Form

Student Registration Form

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