National Diploma Application Form 2024-2025

Download as pdf or txt
Download as pdf or txt
You are on page 1of 4

NATIONAL INSTRUCTORS’ COLLEGE ABILONINO

P. O. Box 437, Lira, Uganda.


Website: www.nicabilonino.ac.ug Email: [email protected]
Tel: Academic Registrar 0782397937
“A Centre of Excellence in Technical Teacher and Instructor Education and Technology”

APPLICATION FOR ADMISSION TO NATIONAL DIPLOMA COURSES


Attach passport
ACADEMIC YEAR: 2024/2025
photograph
NOTE: Use Capital letters to fill this form. here
i. This form is intended for applicants wishing to pursue National Diploma under the TVET system at
National Instructors’ College Abilonino on private sponsorship.
ii. A non-refundable application fee of Ugx. 53,000 /= (bank charges inclusive) must be paid to
the College Bank Account Number. 9030006340309 in the Names of National Instructors’
College Abilonino, Stanbic Bank Apac Branch. Payment can be made from any Stanbic
bank branch country wide. Attach a copy of the payment slip to this application form.
iii. You must also attach:
- Photo copies of certificates/result slips/transcripts,
- A copy of National Identity Card (for 18 years and above) or an Identification from the previous
institutions (for below 18 years)
- A Copy(ies) of appointment/ contract/recommendation of relevant work experience (if any) and
- A Copy of Birth Certificate

PROGRAMME: Tick appropriate box


Technical Programmes:
1. NDFD – National Diploma in Fashion and Garment Design

2. NDLT – National Diploma in Leather Technology

PROGRAMME STATUS AND DURATION:


1. FULL TIME, PRIVATE , 2 YEARS

SECTION A: Particulars of applicant (To be completed in capital letters by Applicant)


1. Names ………………………………………………………………………………………......………
Surname Others names
2. Nationality ………………………………...Date of Birth ……...………….…… Sex …………………
3. Home District ………………………………………….……. County ………………………………….
Sub-county…………………………………. Religious Affiliation (Optional)………………………….
4. Physical Address:
Parish ……………………. Village……………………………Telephone Contact…………………...
Parent/Guardians Name……………………………….………. Telephone Contacts ................................ Parent/Guardian
NIN ……………………………………………………………………………………

1
SECTION B: Educational Background (To be completed by Applicant)
a. PLE results
Name of School ……………………………………………… Year of sitting……………………….
Index Number……………………………...Total Aggregates…………. Division ………………….
Fill in the details
S/N Subjects Grade Subject Grade
1. 4.
2. 5.
3. 6.

b. O’Level : UCE results


Name of School ……………………………………………… Year of sitting ...................................... Index
Number……………………………...Total Aggregates…………. Division ………………….
Fill in the details
S/N Subjects Scores S/N Subjects Scores
1. 7.
2. 8.
3. 9.
4. 10.
5. 11.
6. 12.

c. Technical School/Community Polytechnics: UJTC/UCPC results

Name of Institution………………………………………… Year of sitting……………………….


Course Name……………………………………………………………………..…………………
Index Number……………………………... Grade …………………………………………………..

Fill in the details


S/N Course Subjects Scores S/N Course Subjects Scores
1. 4.
2. 5.
3. 6.

d. Technical/Vocational Institutes: National Certificate/Advanced Craft Certificate Results

Name of Institution……………………………………… Year of sitting……………………….


Course Name ……………………………………………………………………..…………………
Index Number……………………………... Grade …………………………………………………..

2
Fill in the details
S/N Course Subjects Scores S/N Course Subjects Scores
1. 4.
2. 5.
3. 6.

e. A-Level: UACE Results

Name of School ……………………………………………… Year of sitting ...................................... Index


Number……………………………... points obtained………………………………………..
Fill in the details
S/N Subjects Scores S/N Subjects Scores
1. 4.
2. 5.
3. 6.

f. Any other Qualification(s)

Name of Educational Institution/University …………………….………………………………………


Course Name ………………………………………………………………………….…………………
Year of sitting………………...……Reg Number……………………. Class of Grade ………………….
Fill in the details
S/N Course unit/Subjects Scores S/N Course unit/Subjects Scores
1. 4.
2. 5.
3. 6.

Name of Educational Institution/University …………………….………………………………………


Course Name ………………………………………………………………………….…………………
Year of sitting………………...……Reg Number……………………. Class of Grade ………………….

3
SECTION C: Relevant work Record (if any) (Attach a separate sheet if necessary)

S/N Organization/Employer/ Self Employment Post Held Period

5. Chronic Disease/Disability (if any) …………………………………………………………………….

..……………………………………………………………………………………………………………..

6. Choice of Course(s) (select from the attached list)

First Choice……………………………………………………………………………………………….

Second Choice……………………………………………………………………………………………

Third Choice……………………………………………………………………………………………..

b) Briefly explain the reason for choosing the Course(s) you have selected.

……………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………
……………………………………………………………………………

7. Declaration
I declare that to the best of my knowledge, the information provided
above is correct.

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

Note: Falsification of information can lead to cancellation of the offer and prosecution in the courts of law.
Please, return the fully completed Application form with attachments to:
The Academic Registrar, National Instructors’ College Abilonino,
P.O. Box 437, LIRA-UGANDA. Tel. 0782397937
Or send clear scanned and merged copies in pdf format to Email: [email protected],
cc: [email protected]
The Subject in the email should be NATIONAL DIPLOMA APPLICATION 2024/2025

You might also like