Intake form

Name *

Email address *

What services are you interested in?

Please select at least one option.

Utility Bill Payment

Land Records

Certificate Requests

Citizen Grievances

Appointment Booking

Which programs would you like to participate in?

Please select at least one option.

Bootcamps

Hackathons

ICT Scholarships

Student Hubs

How did you hear about us?

What is your preferred method of communication?

Please select your area of interest in technology.

Please select at least one option.

Software Development

Data Science

Cybersecurity

Digital Marketing

Graphic Design

Additional questions or comments