This Form Details will be sent to the Trainer SecretariatOnce this form is received, the Accounts team will forward your details to Zoom. Zoom will send you confirmation of registration for the Classes including the Customised Zoom linkRemember to Stay on This Page when Zoom Pops Up, Fill in your Details and submit to Zoom Amount Paid. (USD) * $200 $31 $40 $35 Method Of Payment used Flutterwave DPO MTN Mobile Money Uganda MTN MoMo Merchant Code Mobile Money - Rest of Africa World Remit Transfer Peg-Pay Transfer (Pegasus) Send Wave Transfer Remitly Money Transfer B-Kash Transfer (Bangladesh) Orange Mobile Money- Liberia ONAFRIQ Money Transfer Ethiopia Country Coordinator Sierra-Leone Country Coordinator Airtel Money Direct Bank Deposit (USD Acc) Direct Bank Deposit ( UGX Acc) MTN Mobile Money Cameroon Orange Mobile Money Cameroon MTC (Pay To Cell) NAMIBIA QN.02: Name * First Name Last Name QN.03: Email * QN.04: Phone (Whatsapp Number) * Add Your WhatsApp Number Country (###) ### #### QN.05: Year of Birth MM DD YYYY QN.06: Country of Residence Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia (Plurinat.State) Bonaire/S.Eustatius/Saba Bosnia and Herzegovina Botswana Brazil British Indian Ocean Ter British Virgin Islands Brunei Darussalam Bulgaria Burkina Faso Burundi Cabo Verde Cambodia Cameroon Canada Cayman Islands Central African Republic Chad Channel Islands Chile China China, Hong Kong SAR China, Macao SAR Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, Dem. 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Research Tools & Software in Biostatistics QN.08: Programme * Zoom Classes take place on Saturdays at 01:00 Pm GMT+0 (Be sure to convert 01:00Pm GMT+0 in your local time to be able to catch up with the classes. Saturday Class at 01:00 Pm GMT+0 QN.09: Occupation * Select the field of work you belong to. Health Sciences Medicine Nursing Biomedical Sciences. Agricultural Sciences Veterinary medicine Laboratory sciences. Social Sciences. Pharmacy Dental Surgery. Others Field QN.10: Select Your Field * Health Related Field. Computer Sciences. Veterinary Sciences. Agricultural Sciences. Biological Sciences. Social Sciences. Environmental Sciences. Biostatistics background Mathematics and Statistics Engineering Business and Economics Education and Research Government and Policy Making QN.11: Applicant Category * Current practising professionals in the above fields. Recent university graduates who graduated not more than 8 years ago in the above fields. Master students at least in Year 1 of study and above in the field stated. Interns: In any of the above Fields. University Students in their Year 3 or higher year of course study. (Yr. 3, 4, 5 and 6) Allied health students or professionals. QN.12: Institution * Name of the organisation you are working with or Institution you are attached to now or University/College you are attending. QN.13: Have you ever published any Research paper or a non sceintific Article (a story of Self, us and Now.) ? Yes No QN.14: Have you ever analysed any data sets using any data analysis tool? * Yes No QN.15: Entry Code * Generate a 5 Digit unique code, this should be a combination of Numbers and Letters. If you are on a group Enrollment, it should be the same for all the group Member. For indiviual Enrollment, keep the code to yourself. Thank You for Submitting your details. Zoom will send you the program Orientation link upon confirmation of your payments.