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Register Students for the DICA Exam
(April 2018)

Form filling guidelines

Fields marked with red asterisk (*) must be filled
On completion of form filling press [Register] button to submit
If you do not see the message "Your Request has been sent" refill and submit the form again
If you need further assistance on filling this form contact our Help Desk (details in "HelpDesk" page)

Full Name *
Write your name for the Certificate *
Age *
Gender *	Male Female
Telephone (Home/Mobile) *
Email Address *
Home Address *
Telecentre Province *
District of your Telecentre*
Your Exam Hall District *
Your Tecenter Name*
Education Qualifications *
Date of Payment (Exam fees) *
Method of Payment *	Via Telecentre Pay direct via Bank
Have you seated for the DICA Exam Before?*	Yes No
How many times have you sat for this exam? *
Registration Type