Scribd Logo
Upload

Welcome to Scribd!

  • 54 views

    Student Application Form 2018 - Edited

    Uploaded by

    chisanga kachinga
    This document contains a student application form for an Industrial Training Centre's higher education programs. The form requests personal information like name, contact details, citizenship, academic qualifications. It also asks for financial sponsor details, preferred course and mode of study. The form notes that providing inaccurate information may result in termination of enrollment. It lists various certificate and diploma courses offered in fields like automotive, computers, telecommunications, logistics and IT teaching.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd

    Student Application Form 2018 - Edited

    Uploaded by

    chisanga kachinga
    54 views2 pages
    This document contains a student application form for an Industrial Training Centre's higher education programs. The form requests personal information like name, contact details, citizenship, academic qualifications. It also asks for financial sponsor details, preferred course and mode of study. The form notes that providing inaccurate information may result in termination of enrollment. It lists various certificate and diploma courses offered in fields like automotive, computers, telecommunications, logistics and IT teaching.

    Original Title

    STUDENT APPLICATION FORM 2018 -EDITED.doc

    Copyright

    © © All Rights Reserved

    Available Formats

    DOC, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document contains a student application form for an Industrial Training Centre's higher education programs. The form requests personal information like name, contact details, citizenship, academic qualifications. It also asks for financial sponsor details, preferred course and mode of study. The form notes that providing inaccurate information may result in termination of enrollment. It lists various certificate and diploma courses offered in fields like automotive, computers, telecommunications, logistics and IT teaching.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    54 views2 pages

    Student Application Form 2018 - Edited

    Uploaded by

    chisanga kachinga
    This document contains a student application form for an Industrial Training Centre's higher education programs. The form requests personal information like name, contact details, citizenship, academic qualifications. It also asks for financial sponsor details, preferred course and mode of study. The form notes that providing inaccurate information may result in termination of enrollment. It lists various certificate and diploma courses offered in fields like automotive, computers, telecommunications, logistics and IT teaching.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 2

    MINISTRY OF HIGHER EDUCATION

    INDUSTRIAL TRAINING CENTRE


    4
    STUDENT APPLICATION FORM

    YOUR INFORMATION
    Surname…………………….First name…………………Middle……………………
    NRC Number……………………………………….
    Date of Birth: …………………………… Gender: Male Female
    Type of Applicant: New Applicant Former Student
    When you plan to Enroll: April/May June/July Sep Jan
    COURSE APPLIED FOR: _______________________________________________
    Mode of Study: Full Time Part-Time ODL-Distance
    Citizenship: ______________________________
    Place of Birth: Town: Province: Country:
    _____________________________________________________

    A. FINANCIAL INFORMATION
    Name of Sponsor or Sponsoring Agency: __________________________________
    Sponsor Relationship to Applicant: Father Mother Employer
    Sponsorship/Government Other
    B. PERMANENT ADDRESS
    Address (Home) ……………………………………………………………………………

    Address (Work) ……………………………………………………………………………

    City………………………..Town……….…………..District …………………………….

    C. CONTACT DETAILS
    Home Phone Number……………………………………………………………………….

    Mobile Number ……………………………………………………………………….

    Email Address ……………………………………………………………………….

    1
    MINISTRY OF HIGHER EDUCATION
    INDUSTRIAL TRAINING CENTRE
    PARENT/GURDIAN

    Surname……………………………First name…………………………………………………….

    Phone number; Home …………………… Work ……………… mobile…………………………..

    Relationship to student: Father Mother Other/Please Specify………………………….

    Highest level of school attained: Less Than Secondary Secondary University

    Is this parent a former student at ITC: Yes No

    If yes when did they Graduate………………………………………………… (Dd/mm/yyyy)


    ACADEMIC QUALIFICATION

    SUBJECT

    English Language ……………


    English Literature ……………
    Mathematics ……………
    Science ……………
    Biology ……………
    Geography ……………
    History ……………
    Religious Education ……………
    Any Other ……………

    D. COURSES OFFERED
     Craft Certificate in Auto-Electrical (TEVETA)
     Craft Certificate in Computer Systems Engineering (TEVETA)
     Craft certificate in telecommunication (TEVETA)
     Technician Certificate & Diploma motor vehicle engineering(CITY & GUILDS-UK)
     Technician |Certificate & Diploma in Telecommunication (CITY & GUILDS-UK)
     Technician certificate & Diploma in Electrical and Electronics (CITY & GUILDS-UK)
     Certificate and Diploma Logistics and Transport(CILT)
     Shipping and Logistics(CILT)
     IT for Teachers- Diploma

    I understand that I am responsible for submitting complete and accurate information on my application form. I certify that the
    information contained in this application is complete and accurate; I understand that supply of inaccurate information by myself
    maybe sufficient ground for termination of my enrollment.

    Signature………………………… Date………………………………………………………………

    FOR OFFICIAL USE ONLY: (Tick appropriate box) SELECTED NOT SELECTED

    Date: …………………………. Signature: ……………………… Designation: ………………………….

    Receipt No …………………………

    NB: Forms will only be accepted with official receipt.


    The fee for application forms is not refundable

    You might also like