Request of Hosting a Course at GIEE CTF

Applicant Full Name (required)

Organization Full Name (required)

Contact Email (required)

Contact Phone Number (required)

Country (required)

City (required)

Facility location (required)

Dates [For example: in June, preferred between June, 13 - June, 25] (required)

Hours [For example: 3 hours everyday, preferred from 10:00AM to 12:00PM Local Time] (required)

Days [For example: 2 days a week, preferred from Sunday and Monday] (required)

Which Course you are interested in? (required)
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Notes (Optional)

I certify that the information provided above is accurate to the best of my knowledge.

By submitting this application I agree to the GIEE Rules & Terms Agreement.

Your Signature (required) [Print your name]

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