My Company
Website:
E-mail:
Tel:
IMPORTANT
- Please ensure that page 1 and 2 of this form are completed in every respect.
- Please attach certified copies of academic and identification certificates.
- Examination registration fees are USD$ 25 per module for CPM and USD $30 for DPM, proof of payment must be attached to this form.
- Examination registration is invalid without valid PMZ membership.
College Date Stamp
EXAMINATION ENTRY FORM (CPM&DPM only)
1. Surname:
Mr/Mrs/Miss:
2. Forenames:
Date of Birth:
3. I.D number:
4. Address:
Telephone: Home:
Business:
Mobile:
Email:
5. PMZ Student Membership No:
6. Examination Session:
7. Name of College where you received tuition:
NB: This PMZ examination entry form has 2 pages, all sections must be completed
8. Please insert an X in the boxes opposite to the subjects being attempted at this examination.
Part 1 Certificate in Project Management (CPM)
| Module Title | Module code | |
|---|---|---|
| Introduction to Project Management | IPM01 | |
| Project Planning | PP02 | |
| Project Implementation | PIPML03 | |
| Project Monitoring and Evaluation | PM&E04 |
9. Number of CPM modules being attempted:
10. Part 2 Diploma in Project Management (DPM)
| Module Title | Module Code | |
|---|---|---|
| Project Management Information Systems | PIMS05 | |
| Project Procurement & Contracts Management | PPCM06 | |
| Project Risk Management | PRM07 | |
| Project Cost Management | PCM08 | |
| Project Time Management | PTM09 |
11. Number of DPM modules being attempted:
DECLARATION
I hereby declare that I have adequately prepared for the examination and will not hold the institute liable for any inabilities to sit for the examination caused by myself after registration, I submit that I have read and understood PMZ rules and regulations in the prospectus.
Signature:
Date:
FOR OFFICIAL USE ONLY:
Amount received:
Cash/Cheque/RTGS
Receipt No:
Exam Session Booked for:
Official Name:
Signature:
NB: This PMZ examination entry form has 2 pages, all sections must be completed