IFC FIT PROGRAM APPLICATION FORM
CERTIFICATE IN FINANCE OF INTERNATIONAL TRADE
Please complete in block capitals. You must submit this form to Ms Kate Kopriva, Course
Coordinator by email (support@ebsi.ie).
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
Work Phone:
Home Phone:
Fax:
Mobile:
Web:
Email:
(mark ‘√’ for delivery preference)
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 €550 includes course materials,
Certificate in Finance of International Trade from IFC & eBSI Export Academy, online lectures,
assessments, and exclusive access to the IFC-eBSI Global Trade Finance Campus.
Payment
Please choose the method of payment you prefer:
Please tick as appropriate:
[
] I enclose payment for _____ EUR in favour of
eBSI Export Academy.
[ ] Please debit Master/Visa/AMEX card number
____________________________________
Card expiry date:
_______
CVV Code: _______
Card holder:
_________________________
Authorising signature:
[ ] Please add EUR 200 more for
OPTIONAL UCP Training Mentor 600
Interactive Learning Solutions Ltd.
T/A eBSI Export Academy
Partner, World Trade Centre Dublin,
22-24 Lower Mount Street, Dublin 2, Ireland.
Tel: +353-9493-81444
Fax: +353-1-5560413
Email: info@ebsi.ie Web: http://www.ebsi.ie
[ ] Bank Payment Details:
Ulster Bank Ireland Ltd
Address: 1 Clarkeville Tce, Palmerstown, Dublin 20
Sort Code: 98 50 45 Account Number: 1019 7084
SWIFT / BIC: ULSBIE2D
___________________ IBAN: IE52 ULSB 9850 4510 1970 84