UGANDA INSTITUTE OF INFORMATION AND COMMUNICATIONS TECHNOLOGY
BUSINESS DEVELOPMENT CENTRE
P.O. BOX 7187, KAMPALA
Tel: 0414-220490/ 0772471946
NOMINATION FORM
Name of Nominee: ..
Position of Nominee: .
Person Nominating: Name: ...............................
Position: ...
Organisation: ...
Address: ...............................
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Physical Address: ...............................
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Tel: ..Mobile: .Fax: .................................
Course/ Seminar/Workshop nominated for: ...........................................................................
Date of Programme: ...
I nominate the above person and commit my organisation to payment to Uganda Institute of Information and
Communication Technology a total fee of Uganda Shillings: .
.. ...........................................................
Signature of Nominating officer: Date & Official Stamp: .
PARTICULARS OF NOMINEE
EDUCATION: DETAILS OF EDUCATIONAL INSTITUTIONS ATTENDED
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EXPERIENCE:
Title of present position:
Date promoted to the present position
Summary of present duties and responsibilities: ..
NOTE: This form is to be completed in full and posted/delivered to the Coordinator-Business Development Centre,
Uganda Institute of Information and Communications Technology, on the above address, to arrive if possible, at least
one week before training commencement. Where there are more participants, please photocopy.