TRAINING APPLICATION FORM

For Training Registration and Enrollment Purposes

    [md-form]
    [md-text label="Email"]

    [/md-text]
    [md-text label="First Name"]

    [/md-text]
    [md-text label="Last Name (Surname)"]

    [/md-text]
    [md-text label="Other Name"]

    [/md-text]
    [md-checkbox label="Gender"]
    MaleFemale
    [/md-checkbox]
    [md-text label="Date of Birth (DD/MM/YYYY)"]

    [/md-text]
    [md-text label="Residential Address"]

    [/md-text]
    [md-select label="State of Residence" outlined="yes"]

    [/md-select]
    [md-checkbox label="Nationality"]
    NigerianI am not a Nigerian
    [/md-checkbox]
    [group group-NationalityIf]
    [md-text label="Specify your nationality (If non-Nigerian)"]

    [/md-text]
    [/group]

    Upload Valid ID

    [md-file label="For Nigerians - International Passport Data page, Voter's Card, NIN, Driver's License (ONLY).
    For Non-Nigerians - International Passport Data page"]

    [/md-file]
    [md-text label="Phone Number"]

    [/md-text]
    [md-text label="WhatsApp Number"]

    [/md-text]
    [md-text label="Telegram Number"]

    [/md-text]
    [md-text label="ICE - Contact Person: Your person (Friend or Relative) that we can contact in case of an emergency"]

    [/md-text]
    [md-text label="ICE Person's Relationship with you: Specify your relationship with the person that we can contact in case of an emergency"]

    [/md-text]

    SELECT TRAINING PACKAGE

    All payment should be made to:

    First Bank PLC

    2034353228

    Lasbegy Optimum Services Ltd

    SWIFT CODE: FBNINGLA

    ROUTING NUMBER: 011150000l

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    Once you have completed the form, our customer service team will contact you.

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    Programs
    [md-checkbox label="Select Training Package"]
    BASIC LEVEL 2 = N125,000 (One-time payment)BASIC LEVEL 3 = N175,000 (One-time payment)OPTIMAL LEVEL 2 = N215,000 (One-time payment)OPTIMAL LEVEL 3 = N290,000 (One-time payment)PREMIUM LEVEL 2 = N350,000PREMIUM LEVEL 3 = N450,000
    [/md-checkbox]
    [md-file label="Upload Evidence of Payment"]

    [/md-file]

    Indicate Name on Certificate


    [md-text label="Name you want to be on the Certificate at the end of the Program"]

    [/md-text]

    Select your post-training plan


    [md-checkbox label="What plans do you wish to follow up once you are done with the Training?"]
    I want to apply for work visa abroad & I have IELTS or EquivalentI want to apply for work visa abroad & I do not have IELTS or EquivalentI already have an arrangement for work visa awaiting this training certificateOther
    [/md-checkbox]
    [group group-other]
    [md-text label="Other Plans"]

    [/md-text]
    [/group]
    [md-select label="How Did You Hear About the Training?" outlined="yes"]

    [/md-select]
    [md-text label="Full Name and Phone Number of referrer"]

    [/md-text]
    [md-text label="Please provide details of whosoever referred you to us (if applicable)"]

    [/md-text]

    TERMS AND CONDITIONS

    PLEASE NOTE:

    On successful submission, our team will confirm and contact you to make APPLICATION DEPOSIT FEE. All payment MUST be made in our official bank account either by cash deposit, bank transfer or bank wire ONLY!

    BEWARE OF SCAMMERS – LASBEGY WILL NEVER ASK FOR YOUR BANKING DETAILS! REPORT ALL SUSPICIOUS CONTACTS TO US IMMEDIATELY.

    LASBEGY TEAM WILL NOT BE HELD RESPONSIBLE FOR ANY LOSS OF DOCUMENTS RESULTING FROM FAILURE TO COMPLY WITH ABOVE INSTRUCTIONS. ANY DETAILS OR DOCUMENTS SUBMITTED REMAINS CONFIDENTIAL AND ONLY FOR THE PURPOSE OF EDUCATIONAL PLACEMENT AS REQUESTED. OUR CLIENT’S INFORMATION ARE OF VALUE TO US AND IS NOT FOR SALE TO ANY PARTY WHATSOEVER.

    [md-quiz label="Prove you're a human by answering the quiz below"]

    [/md-quiz]
    [md-checkbox label=""]
    I have read and understood the above Terms and Conditions.
    [/md-checkbox]
    [group group-Termssubmit]
    [md-submit]

    [/md-submit]
    [/group]
    [/md-form]