2. Name
3. Address
4. Personal
Details
| Date
of Birth (dd/mm/yy) |
|
| Place
of Birth |
|
| Nationality |
|
| Marital
Status (M/S) |
|
| Do
you have any dietary restrictions? |
|
| If
yes, please state them: |
|
| What
games do you play? |
|
5. Education/Training
Provide
brief details of your educational
training, where applicable, stating any qualifications gained.
|
| Schools and Qualifications (give
years):
|
|
Higher Qualifications (give years):
|
| Training courses and professional
studies (if applicable):
|
Did you have cause to abandon any
training you have taken? Yes / No (circle answer)
If
yes, give details.
|
6. Project
Related Training
| Is the training you are applying for
related to a particular project? If so, please give
details.
|
7. Language
Proficiency (Please state whether excellent, very
good or fair)
| |
English |
Spanish |
French |
| Spoken |
|
|
|
| Written |
|
|
|
8. Employment
History
9. Future
Plans
|
Provide a
brief description of future plans if different from 8.
|
10. Sponsorship
| Who will pay your fees and other
costs such as travel and subsistence?
Agency?
Self?
Other? |
| Date: |
___________________________ |
|
Signature of
Applicant: |
___________________________ |
|
Signature of Authorising
Officer (if applicable): |
___________________________ |
Mail completed Application Form to:
|
The
Principal
REPAHA
P.O.
Box 10962
Georgetown,
Guyana
South
America
|
OR |
Agricultural Development
Unit
CARICOM Secretariat
Bank of Guyana Building
Avenue of the Republic
Georgetown, Guyana
South America
|
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This
page was created and maintained by Devon Dublin, REPAHA, P.O. Box 10962, Georgetown.
Guyana. South America.
If you have any questions
or comments, please contact
"repaha@sdnp.org.gy"