Personal Information Full Name: * (Surname first) Dj Name: * Residential Address: * Date of Birth: * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year198319841985198619871988198919901991199219931994199519961997199819992000200120022003200420052006200720082009201020112012 Country State of Origin: * City: * L.G.A * Cell Phone No: * Sex: * Male Female Hobbies: Next of Kin: Email: * Address of Next of Kin: * Occupation: * Experience: Do you have any experience in Disk Jockey?: * Yes no If yes specify: Do you own Dj head phones?: * Yes No What type of DJ do you want to become ? * Mobile Dj Radio Dj Club Dj Bar Dj What skill would you like to focus on ? * Beat making Scratching TurnTablism Programme (Please tick as appropriate) Certificate 60,000 (3months) Diploma 90,000 (5 months) Advanced Diploma 150,000 (8 months) Part payment Amount N Balance Payment Amount N Full Payment Amount N Bank Payment Yes No (if Yes, please attach teller with registration form and submit at the office) PAYMENT CAN BE MADE AT ANY OF THE FOLLOWING BANKS USING THIS ACCOUNT NAME: SMART DON ENTERTAINMENT. (1) FIRST BANK A/C NO. 2023490994, (2) GT BANK A/C NO. 0125956708, ACCESS BANK A/C NO. 0045347597 Attestation * I hereby attest that the information provided above is true and any false information will be used against me in the court of law