JIGAWA SPECIAL LIST Full Name *Phone *What is your Highest Level of Qualification? *SelectPrimary EducationSecondaryTechnical CollegeNational DiplomaUniversity DegreeMaster DegreeVocational EducationMarital Status *SelectSingleMarriedGender *SelectMaleFemaleDate of Birth *Age *Select123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899100LOCAL GOVERNMENT AREA *SelectAuyoBaburaBirniwaBirnin KuduBujiDutseGagarawaGarkiGumelGuriGwaramGwiwaHadejiaJahunKafin HausaKaugamaKazaureKiri KasamaKiyawaMaigatariMalam MadoriMigaRingimRoniSule TankarkarTauraYankwashiHome AddressCan you dedicate 2-3hrs daily for this training? *SelectYesNoWhat Part in ICT? *SelectComputer AppreciationGraphics DesignWebsite DevelopmentWhat is your Disability? *SelectDeaf (Hearing Impaired)Blind (Visual Impaired)AlbinoDwarfOthersInterest *SelectICTCulinaryAgricultureFashion DesignCurrent Level *SelectBeginnerIntermediateProfessionalWhat do you do? *EmployedSelf EmployedUnEmployedNINSUMBIT NOW