Plot 4751 Birdcage Walk, Longacres
P/B RW 16X, Lusaka, Zambia
Tel: 260-211-253211/253328/253331-2
Fax: 260-211-253382
E-mail:
[email protected] Website:http://www.teveta.org.zm
TEVET EXAMINATION ENTRY FORM
1. COURSE:
M M Y Y
2. EXAMINATION SERIES: /
3. STUDENT NO. :
4. EXAMINATION CENTER NAME :
5. SURNAME :
6. FORENAMES :
7. INSTITUTION OF STUDY :
Y Y Y Y
8. YEAR OF ENROLMENT :
9. Mode of Study: Full-time F / Distance D / Workplace W / Part time P
10. YEAR OF STUDY First Second Third Fourth
11. SUBJECTS TO BE TAKEN(indicate whether practical or written paper)
(i)
(ii)
(iii)
(iv)
(v)
(vi)
(vii)
(viii)
(ix)
(x)
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DECLARATION BY APPLICANT
I hereby declare that the particulars given on this form are true and complete and that I have not filled any
other form for these examinations in this session.
Signature :
Date :
DECLARATION BY HEAD OF INSTITUTION
I hereby declare that the applicant has followed the prescribed learning programme and has fulfilled
the requirements to be admitted for examination in the subjects indicated.
Name in full :
Official Designation :
Institutional Stamp
Signature :
FOR OFFICIAL USE ONLY
Cashier's Signature :
Receipt No:
OFFICIAL STAMP
NOTE: No Refunds once fees have been paid shall be entertained
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