Sustainable Microfinance and Development Program 2016–Nairobi, Kenya
Monday November 28, to FridayDecember 9, 2016

Important:

REGISTRATION DEADLINE:
November 4, 2016 (full tuition, room and board payment must be received to reserve your place in the program)

Please complete this form in its entirety and send via e-mail to

*Email:

*Prefix (Mr., Mrs., etc.):

*First Name:

Middle Name:

*Last Name:

*Job Title:

*Name as it would appear on a badge and tent card:

*Company/Organization:

*Address Line 1:

Address Line 2:

*City:

*Country:

Zip (Postal Code):

*Home/Cell Phone:

Work Phone:

Extension:

Fax:

*Gender:

*Country Passport Issued From:

Passport Number:

*Emergency Contact Name:

*Emergency Contact Phone:

* required fields

Please describe your current position and previous experience. Your statement will be shared with Facilitators and Students. Maximum 100 words (you may revise this statement once your on-line application has been created)

Name of Your Sponsor:

Sponsor Contact Info: (Address, City Country, Postal Code, Telephone, Email, Website)

Course Selection

PLEASE FOLLOW THESE INSTRUCTIONS WHEN MAKING YOUR COURSE/TRACK SELECTIONS:

Please refer to the schedule before making course selections

DAILY CLASS SCHEDULE

08:30 to 12:00 - Morning class sessions with a Nutrition Break from 10:15 to 10:30
12:00 to 13:00 - Lunch
13:00 to 16:30 - Afternoon class sessions with Nutrition Break from 15:30 to 15:45
18:00 to 19:00 – Dinner

COURSE OFFERINGS

Select
With An X / WEEK ONE NOVEMBER 28 –DECEMBER 2
Savings Groups: Programme Design and Implementation Management
Select
With An X / WEEK TWO DECEMBER 5 - DECEMBER 9
Savings Groups: Management Information Systems

COURSE TUITION AND ROOM AND BOARD
Tuition includes all books, reading materials, USB, and field trips. Room and Board includes breakfast, lunch and dinner for six days for a one-week enrollment and 13 days for a two-week enrollment, coffee/tea breaks twice per day Monday through Friday and field visit transportation costs.

SELECT ONE ONLY

Residential / Enter X Below /

Commuter

/ Enter X Below
One Week Enrollment November 28 –December 2 or
December 5 – December 9 / $2,100 / $1,300
Two Weeks Enrollment November 28 - December 9 / $4,000 / $2,250
Please Enter AMOUNTS From Above In the Appropriate Box Below
One Week Enrollment November 28 –December 2
One Week Enrollment December 5 – December 9
Two Weeks Enrollment November 28 - December 9

By submitting this application, I certify that I will be responsible for payment of the full tuition and room and board fees or I understand that my application will be cancelled. Please type your initials below:

Yes ______No______

Payment Information

A deposit of $500.00 is due within 10 days of registration. The balance of workshop fees are due before your arrival inNairobi. Payments may be made by credit card, wire transfer, or check.

Check:
Please make payable to:University of New Hampshire/SMDP

and mail with a copy of this registration to:

SMDP Kenya c/o VSL Associates
Neuenkamper Strasse 27

42657 Solingen, Germany

Wire Transfer:

Please contact Hugh Allen for Wire Transfer Instructions

Transaction must be completed in U.S. Dollars

Be sure to include your name on the draft and send us an email letting us know that it has been processed. Please add a $35 fee to cover the cost of the transfer and other Bank charges. Note, there is no standard rate for such costs and therefore it may vary from the recommended $35. In such a case, if your payments are either short or greater than the amount you owe, we will settle it while you are at the SMDP. The payment amount will be based on the notification we receive from our bank as to what the actual deposit is, therefore make sure you correspond with us at regarding this.

Note: No cash payments for tuition and housing costs will be accepted at the program.

Credit Card:

If you wish to pay by credit card please contact the SMDP office r call +1603-862-1871 and we can take your card information over the phone.

Once your deposit or full payment has been received we will send you an e-mail confirmation and will e-mail you a Letter of Acceptance, which you may need when applying for a Kenyavisa.

For payment questions contact or call
+49 176 72483304

KENYA VISA INFORMATION

A passport and visa are required for entry into Kenya. While single-entry visas are currently still available upon arrival at Kenyan airports, Kenya Immigration plans to end visas upon arrival at some point in the future. Therefore, all travelers are strongly encouraged to apply online through the e-visa process. Immigration has instituted a new visa policy whereby all visitors must obtain visas by using a new online application at:

This page also lists countries for which a visa is not required.

SMDP will provide an invitation letter to facilitate your visa request process.

When completing your registration form, please be sure to include:
1) Full name, as it appears on your passport
2) Nationality, as it appears on your passport
3) Your passport number, as it appears on your passport
4) Date of expiration on your passport

Please note:The SMDP can only provide a supporting letterif participants submit their request by November 4, 2016.

There are many visa services companies that may be able to obtain your visa for an additional handling fee. Search “Kenya Visa Information” in a search engine such as Google for a listing. Please be advised that it can take several weeks to obtain a visa, so do not delay in submitting your application. The SMDP administrative office can write an official letter of invitation for you, which may be required with your visa application. Please request this letter by contacting Mr. Hugh Allen at no later than three weeks before the programme begins.

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