eBSI ENROLMENT FORM

							                                 IFC FIT PROGRAM APPLICATION FORM
                  CERTIFICATE IN FINANCE OF INTERNATIONAL TRADE & UCP 600
            Please complete in block capitals. You must submit this form to Ms Kate Kopriva, Director of
                         Studies by email (kkopriva@ebsi.ie) or fax (+353 949381708).
                  NOTE: Please complete all parts as completely as possible.
        Contact Information
        Title (Mr, Ms, etc.):                                    Date of Birth:
                         Name:                                   Surname:
                      Company
                       Job Title

        [    ] Company Address                                    [ ] Home Address          (mark ‘√’ for delivery preference)




        Work Phone:                                               Home Phone:
        Fax:                                                      Mobile:
        Web:                                                      Email:

                                                                      Participant Age Category (please circle):
        Annual International
        Turnover:                                                     [18-25] [26-35]      [36-45]       [46-55]      [56-65]


                                                                      Area of Business:
        Number of Employees
        in Company:


      Emerging Markets Grant Supported Program Fee of €490 includes course materials,
      Certificate in Finance of International Trade from Institute of Export UK, ICC UCP600
      certification (Mentor or Upskill 600), online lectures, assessments, and exclusive access to the
      IFC-eBSI Global Trade Finance Campus.
                                                                    Participant’s
Payment                                                             Signature

        Please choose the method of payment you prefer:
                                                                                Payment Details for Bank transfer: Account
        Please tick as appropriate:                                             Holder: GTI Learning.Com
        [ ] I enclose payment for _____ EUR in favour of eBSI.                  IBAN: IE89 BOFI 901490 74466655
                                                                                SWIFT: BOFIIE2D
        [ ] Please debit Master/Visa card number
                                                                                Account Number: 74466655
              ____________________________________                              Branch Code: 901490
        Card expiry date:                 ___________________                   Address: Bank of Ireland Lower Baggot Street,
                                                                                Dublin 2, Ireland
        Card holder:             _________________________                      Payment by bank demand draft to eBSI
                                                                                and locally to our country coordinator Mr.
        Authorising signature:            ___________________                   M. Umar Farooq is also accepted.

                                                electronic Business School of Ireland
                       Global Trade Interactive Learning.com Ltd. Enterprise House, Kiltimagh, Co. Mayo, Ireland.
             Tel: +353-9493-81444/74910 Fax: +353-9493-81708 Company Number 315202                    VAT No. IE 6335202 I
       Email: info@ebsi.ie Web: http://www.ebsi.ie Email: Pakistan@ifcfitinitiative.net Web: http://pakistan.ifcfitinitiative.net