Application Form - May 22 Peds
Application Form - May 22 Peds
INSTRUCTIONS
Write in the spaces provided or tick in the appropriate box. Please print.
Attach certified copies of educational certificates, birth certificate, identity card, any proof of work
experience and marriage certificates for women with registered marriages.
In D2, please indicate your choice of Learning Area.
Downloaded forms will be submitted to the ADMISSIONS OFFICE upon production of proof of payment.
Successful applicants will be required to produce police clearance.
PART A: PERSONAL DETAILS
FIRST NAME(S)
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PASSED
`O` LEVEL
SUBJECTS/COURSES/PROGRAMMES COLLEGE/SCHOOL YEAR GRADE SCORE (For
STUDIED AND PASSED ATTENDED OBTAINED ATTAINED official use)
PART C: EXPERIENCE
(i) TEACHING EXPERIENCE
(If you have a teaching experience indicate number of years by ticking in the appropriate box and attach proof of
experience e.g. photocopy of pay slip.
A teaching experience up to 1yr between 1 & 2yrs more than 2 yrs. none
If yes, indicate the number of years: up to 1yr between 1 & 2yrs more than 2yrs none
(Tick in the appropriate square and also attach any relevant proof of work experience e.g. photocopy of pay slip)
State nature of employment.
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8. Computer Science At least an ND or better
DECLARATION: I ……………………………………………………… declare that the information given in this form is true.
DOCUMENTS CHECK
Form fully completed ‘O’ Level English Language, Mathematics
Birth Certificate Certified ‘O’ Level Certificate(s)
Identity Card Certified ‘A’ Level Certificate(s)
Work Proof Professional certificate/s
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