iEARN Workshop Registration Form

 

Independent teacher applicants

 

Title  of the workshop for which you need to enroll:

 

_________________________________________________________________

 

First Name: ________________

 

Last Name: ________________

 

Date of Birth: ______________

 

Gender: __________________

 

Educational Qualification: _____________________________

 

Subjects and classes Teaching currently: ________________________________________________________

 

_______________________________________________________________________________________

 

Full Name and Address of the Institution Your are Working: : ________________________________________

 

 ______________________________________________________________________________________

 

 

Work phone/cell number: ____________________________________________________________________

 

E-mail address: _____________________________________

 

 

A brief introduction of yourself:

 

_________________________________________________________________________________________

 

_________________________________________________________________________________________

 

_________________________________________________________________________________________

 

_________________________________________________________________________________________

 

What do you hope to achieve from this workshop?

 

________________________________________________________________________________________

 

________________________________________________________________________________________

 

________________________________________________________________________________________

 

 

“Society for International Education.” Cash payments can be made in person at the iEARN office. The registration fee is non refundable.

10:00am-3:00pm.

 

iEARN-Centre

22, Ali Bhai Centre,
233-A, Shahra-e-Qaideen,
P.E.C.H.S. Block-2,
Karachi - 75400
Pakistan.
 
Telephone: 9221-34547547