Skip to main content

APPLICATION FOR SUBSIDIZED TRIP

Note: You are not qualified to participate in this subsidized trip if our destination is a country where you hold a citizenship or either of your parents.
(Required)
What is best form of contacting you?
(Required)
Does either of your parents holds citizenship of any African nation?
(Required)
Do you hold citizenship of any African nation?
(Required)
Were you referred?(Required)
I understand any false declaration in the form is an automatic disqualification even if I had earlier been contacted as lucky winner at any process of my application.

I voluntary agreed that this is a free-will participation and that I shall follow any further terms and conditions including customs and immigration laws of our country of destination.

I agreed that signing my name below is taking as my electronic signature and as consent to all above.
MM slash DD slash YYYY