Northern Technical College: Student Application Form

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Northern Technical College

STUDENT APPLICATION FORM

TRADE TEST LEVEL III - TEVET FUND SPONSORSHIP

OCTOBER 2020

1. Surname: …...……………………….………………………… 2. First names:……………………………………..…………………………


3. N.R.C. NO: …………………………..………………………….. 4. Nationality: ……………...………………………………..………………..
5. Date of Birth: ……..…………………………………………….. 6. Sex: ………….…………………...……………………………….………..
7. Contact Address: ………………………………………………………………………………………………………………..…………………...
8. Residential Address ……………………………………………………………………………………………………………………………..
9. Cell No.: ……………………………………………………………. 10. E-Mail: ……..………………………………………………………….
11. Course: 1st Choice: …………..………………………………………………………………………………………………..………………….
2nd Choice: ……………….………………………………………………………………………………………………..…………….
12. Last School attended:……………….…………………………………………………………………….…………………….…….………….
13.Grade Attained: (Please Tick)
Grade 7 Grade 9 Grade 12

Other:……………14. Year of Grade attainment: …………………………………….

15.SUBJECT GRADE SUBJECT GRADE

i. …………………… ….………………… viii. …………………………. ….…………….


ii. …………………… ….……………….. ix. …………………………. ….…………….
iii. …………………… ….………………… x. …………………………. ….…………….
iv. …………………… ….………………… xi. ………………………… ….…………….
v. …………………… ….………………… xii. ………………………… ….…………….
16. Previous Institution(s) attended (if any):………………………..……………………………………………………………………………….
17. Dates attended: from:…………………………………………………… To: ……………………………………………………………………
18. Qualification obtained (attach copy):…………. ……………………………………………………………………….………………………..
19. Are you disabled? Yes/No. (If yes, specify nature of disability): …………………………………………………………………………….
20. Next of Kin: (a) Name: ………………….…………………….. (b) Residential Address:…………………………………………………....
(c) Cell No:……………………………………… (d) Relationship:…………………………………………………………….
21.Applicant’s Signature: …………………………………………….………… 22. Date: ……………………………………………………
23. Note that any application form submitted later than 14 October 2020 will not be considered.
23. FOR OFFICIAL USE ONLY
Ref No. Payment Receipt No. Date paid Date Stamp
Cash Postal order

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