Digitest2021 Registration | Digital Peers International

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DIGITEST2021

REGISTRATION FORM

Please fill the form below with the appropriate information

DIGITEST 2021 Participant Registration Form

Register for *

Online

Physical (Abuja Resident Only)

Last Name *

First Name *

Other Names

Gender *

Date of Birth *

Email *

Please note this also serve as your username

Phone *

WhatsApp Enabled

Password *

Confirm Password *

Home Address

State of Residence (For Nigerians only)

State of Residence (Foreign Participants only)

Country *

School Information

School Name *

School State (For Nigerians only)

School State (For Foreign Participants only)

School Address

Phone

School’s Email

Parent/Guadian

Name *

Parent’s Email *

Phone *

Add Remove

Other Information

Medical History *

State of Origin *

Allergies *

How did you hear about us? *

Social Media

Print/Fliers

Radio

Television

From a Friend

OtherOther

Attestation *

This form is being completed under the supervision of parent/guardian

I have read the attestation below and agree to it

Attestation | DIGITEST 2021 Brochure

Official

Confirmation

This is to confirm that this user has been confirmed paid, and the registration form is confirmed and updated to meet submission criteria.

Allocate Registration ID

Approved by

Text

If you are human, leave this field blank.

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