Technical Familiarization Registration

Registration received

Thank you! Your registration has been submitted.

Amount payable

KSH 0

Please complete payment via ABSA Paybill 303030, Account SUV4#.

By completing this form, you consent to the collection and use of your personal data for registration, communication, and coordination of the Skills Training Program. All information is treated as confidential and used only to:

Contact participants or parents/guardians regarding program updates and safety,
Allocate participants to appropriate training sessions, and
Maintain internal records for monitoring and reporting purposes.

Participant Information

Full Name of the participant *

Age * Must be at least 12

Gender *

Male Female

Email address *

Area of Residence *

Program Selection

Program/Activity Applying For * Select at most 3. Each skill is a 12-week program at KSH 30,000 per skill.

Preferred Schedule *

Morning Sessions Afternoon Sessions Flexible

Parent/Guardian Information

Guardian Phone Number * Used to generate your payment account number

Emergency Contact Information

Parent/Guardian/Emergency Contact Name *

Relationship to Participant *

Emergency Contact Phone Number *

Health & Safety Information

Do you have any medical conditions, allergies, disabilities, or special needs that Avon should be aware of? *

Yes No

If yes, please specify *

Are you currently on any medication? *

Yes No

If yes, please specify *

Consent and Permissions

Do you consent to being photographed or video-recorded during program activities for documentation and promotional purposes? *

Yes No

I confirm that the information provided is accurate, and I understand that the EILA Program is an industrial exposure and practical learning program designed to provide hands-on skills exposure and career development opportunities. *

Amount Payable

No programs selected yetKSH 0

TotalKSH 0

Pay usingABSA Bank Paybill

PayBill303030

AccountSUV4#YourPhoneNumber

AmountKSH 0

Did you find any challenge while paying? *

No Other

Please describe the challenge