The NATIONAL POLYTECHNIC INSTITUTE OF

PAPUA NEW GUINEA

P.O. Box 4366 Lae, 411 Morobe Province Tel: (675) 472-2555 / (675) 472-1508 / (675) 472-7530 /
Email: polytec.acad.clerk@gmail.com (675) 472-1025

INFORMATION FOR APPLICANTS – 2023

(Take note of the conditions given below when completing this application form for selection to courses offered).

1. Please read this form carefully.

2. Print clearly in Block Letters.

3. Correct and full address must be given.

4. You MUST attach certified copies of the following documents in your application:

1. Transcript of academic records;

2. Certificates;
3. Reference from recent employer, (if applicable);
4. Confirmation of sponsorship, (if available).
5. Police Clearance Form
6. Birth Registration Certificate or Form
7. NID Registration
8. Medical Check Form

5. Copies of documents must be certified by any of the following; by a Church Minister, a High School Head
master or College Principal, Commissioned Police Officer, Magistrate or Commissioner of Oaths

6. All applications received without documentary evidence will be disregarded.

7. Completed application should be sent to reach the Deputy Director Academic no later than 21st October
of this academic year, 2022. A none refundable processing fee of K50.00 for all completed forms will
be charged. Payment can be made by depositing the fee into the Institution Account:

Account Name : NATIONAL POLYTECHNIC INSTITUTE OF PNG

Account Number : 271-3857601
Bank : Westpac Bank
Branch : Lae Branch

8. All complete forms must be attached with an original bank deposit slip and address to:

The Deputy Director Academic

National Polytechnic Institute of PNG
P.O. Box 4366,
LAE, 411
Morobe Province, Papua New Guinea.

9. Any application form received without the processing fee and faxed applications forms WILL NOT be
considered.
 NATIONAL POLYTECHNIC INSTITUTE OF PNG
COURSES OFFERED & RELATED INFORMATION

A BRIEF HISTORY OF THE NATIONAL POLYTECHNIC INSTITUTE OF PNG

Courses Minimum Entry Requirements
The National Polytechnic Institute of Papua New Guinea (NPIPNG or Polytec for short) was officially launched on 2nd APPLICANTS MUST BE ABLE TO COMPLETE GRADE 12 TO BE ELIGIBLE TO APPLY.
December 2009 with the Governor General, Sir Paulias Matane, making the official declaration and unveiling of the Current Diploma Courses: (80 Weeks Duration)
commemoration plaque. 1. Diploma in Business Studies - Accounting

The National Polytechnic Institute was legally established in 2008 by the National Education Board acting under its authority 2. Diploma in Business Studies - Management Grade 12 (or equivalent) with B grade in English and Maths, and
C grade in all other subjects or relevant trade certificate with
as provided by Education Act 1983. On August 2008 a fact – finding team of five consisting of Mr. Jayasundra B. Banda, 3. Diploma in Business Studies – Office Admin. industrial experience.
acting TVET assistant secretary as leader, the late principal – Mr. Mathew Piruruho, deputy principal – Mr. Lawrence Parry,
two department heads- Mr. Joselito Marcos and Mrs. Rosa Manua, were sent to New Zealand to study the set up, operation 4. Diploma in Business Studies - Computing
and organizational structure of selected polytechnic and institutes of technology.
5. Diploma in Architectural Drafting
Grade 12 (or equivalent) with B grade in Maths A and physics,
Upon its return the team presented their findings and recommendations in its comprehensive report to the governing 6. Diploma in Building and C grade in English and other science subjects or relevant
council. The report was well received by the governing council that created the Polytechnic Committee. The committee was trade certificate with industrial experience.
tasked, in 2009, to carry out year-long activities – ranging from formulation of new vision and mission statements, strategic 7. Diploma in Civil Engineering
plans, policies and on students’ affairs, governance and finance, human resource development and management to
academic matters among others- culminating into the official launching of the polytechnic institute on the day before the 55th 8. Diploma in Electrical Engineering (Power)
Grade 12 (or equivalent) with B grade in Maths A and Physic,
and last graduation of the former Lae Technical College. and C grade in English, Chemistry and Biology.
9. Diploma in Electrical Engineering (Electronics)
The National Department of Education established the institute as the first of the four polytechnics envisioned to be created Grade 12 (or equivalent) with B grade in Maths and physics, and
in each of the four regions of the country. The conversion from being a technical and a business college to a polytechnic 10. Diploma in Mechanical Engineering C grade in English, chemistry and biology or relevant trade
institute was realized through the initiative of Technical Vocational Education and Training division, and spearheaded by the certificate with industrial experience.
college’s governing council, administration together with its six departments. Grade 12 (or equivalent) with B grade in Chemistry and C grade
11. Diploma in Applied Science
in Maths, Biology and Physics.
Grade 12 (or equivalent) with B grade in Maths and English, and
Various changes and improvements had taken place in the school in terms of infrastructure, academic programs, and 12. Diploma in Hospitality Management C grade in all other subjects or relevant trade certificate with
personnel. Like any organizations, the college encountered a number of difficulties and problems but with the able industrial experience.
assistance of the governing council, school authorities, stakeholders and the community, it has survived all the odds. Certificate Course (40 Weeks Duration)
Grade 10 with upper passes in English, Maths and science or Grade
16. Certificate in Meat Processing
With strong commitment from and undying faith of all stakeholders, it is envisioned that the institute will produce useful 12 with average upper pass grades in all subjects.
citizens equipped with the life-long skills and knowledge that they can use in their quest for personal success and contribute National Certificate (NC) Courses: (20 Weeks Duration)
to the progress and prosperity of the nation. 17. NC in Metal Trades (MFM) Grade 10 with Upper Pass in English, Maths and science or Grade
18. NC in Metal Trades (MFW) 12 with upper passes in Maths and physics.
New Courses:
MISSION STATEMENT Grade 12 with C grade and above (School Leavers), Grade 10 with
1. Certificate III in Laboratory Skills 2 years equivalent full-time relevant workplace experience in an
WE are a government educational institution committed to develop individuals in various life skills through quality and operational or leadership role in an enterprise (Non-School Leavers)
relevant educational programs that meet business, industrial and community needs for sustainable national progress. Has completed Certificate III and or other relevant courses in
2. Certificate IV in Building & Design Drafting
Building & Design Drafting
VISION STATEMENT 3. Certificate III in Hospitality (Commercial Grade 12 with C grade and above (School Leavers),
Cookery | Food & Beverage Operations | Distinction/Credit for Grade 10. Have four years equivalent full-time
THE Institute shall be recognized as prime movers for growth, prosperity and excellence through quality education. Accommodation Services) relevant work experience (Non-School Leavers.

For further information contact:

The Deputy Director-Academic
P O Box 4366, LAE, Morobe Province
Phone: 4722555, Email: polytec.acad.clerk@gmail.com

Female student proving that MFM Civil Engineering students

trade is for both genders. on surveying practical Students in one of the five Students serving guest in the
computer laboratories. Ahi Restaurant.
 The NATIONAL POLYTECHNIC INSTITUTE OF
PAPUA NEW GUINEA
P.O. Box 4366 Lae, 411 Morobe Province Tel: (675) 472-2555 / (675) 472-1789 / (675) 472-7530 /
Email: polytec.acad.clerk@gmail.com Fax: (675) 472-1025 or (675) 472 6693

APPLICATION FORM No: 2023 _________

ID PHOTO
APPLICATION FORM FOR STUDY HERE.

1. Personal Details

Surname:_____________________________________ Given Name:____________________________________

Gender: Male / Female Age:_______________ Marital Status:__________________________________
Home Province_________________________________ District: ______________________ LLG: _____________
Village: ______________________________________ Citizenship:_______________________________
School Leaver Form (SLF) No.: ____________________ Birth Registration No.: ____________________________
NID No.: __________________________

Correspondence Address (Where letters from the Institution will reach you)

POSTAL ADDRESS:
________________________________________________________________________________________________________________
________________________________________________________________________________________________________________
PHONE:__________________________FAX:____________________________EMAIL:__________________________________________

2. Choice of Courses FOR OFFICIAL USE ONLY:

GPA: ______________
List up to three (3) courses of your choice. GPA Upgraded: _________

Choices of courses. (Indicate the courses in full as your first, second and third choices)

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

Second Choice ………………………………………………………………………………………………………………………………………………………….

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

Are you applying for re-entry to the Institution? Yes / No _______________

If yes, state when were you discontinued from studies and explain reason(s) for discontinuation; ______________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
You must attached copies of transcript.

3. Education Information
School/Institution Year Completed Awards Obtained
Secondary School
Matriculation courses
Tertiary Education
1.
2.
Other Training Institute
1.
2.
Attach certified copies of academic records and transcripts for (Secondary School, Matriculation courses and Tertiary Education)
4. Employment Records (If applicable)

Give at least three (3) addresses and telephone numbers of your employer.

Employer Period of employment Position held Phone number

1.
2.
3.

5. References

i) Have you been disciplined in school, College or Other Institution? If yes; for what reason(s) were you
disciplined?
______________________________________________________________________________________

ii) Enclose Character references by two persons from any of the following: 1) Headmaster of last school
attended, 2) Commissioned Police Officer, 3) Church Pastor, 4) Magistrate, 5) Village Councillor,
6) A Senior Public Servant and 7) from recent employer.

6. Financial Support

How do you intend to finance your studies? (Circle the correct answer)
i) Self Sponsor (paying own fees) Yes / No
ii) Scholarship (OHE, or others) _______________________________ Yes / No
iii) Corporate Sponsorship (If yes please provide detail) Yes / No
___________________________________________________________________

7. Other Applications

Have you applied to any other institution(s)? Yes / No

If yes, please specify institution/s and course(s) Yes / No
______________________________________________________________________________________

8. Applicants with Physical Disabilities

Are you a person with physical disabilities? YES/NO

If yes, explain nature of physical disabilities.
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________

9. Declaration

Selection approval will be subject to the information on this form being correct. Any false or misleading
information provided in this application will result in immediate cancellation of place of study and may
result in prosecutions being carried out under the Papua New Guinea’s criminal code.

I certify that I have read and understood all questions on this form. The answers given are true and
complete in every particular. Furthermore, the services rendered by the Institution are privileges that I will
uphold with care and responsibility.

If accepted, I undertake to abide by the Institution’s Rules and Regulations in as far as they apply to the
student.

Signature: _____________________________________Date:______________________
 THE NATIONAL POLYTECHNIC INSTITUTE OF PAPUA NEW GUINEA
MEDICAL CHECK FORM

PERSONAL STATEMENT
Any misleading statements or omissions will render the candidate liable for disqualification.
Questions should be read carefully before the answers are written and no questions should be answered with a
stroke when the answer is “no”.

Surname Given Name Date and year of birth

Address

Present occupation Position and Department for which nominated

Family History- (Please give details of the state of health of parents, brothers and /or sisters)

Questions Answers Explanatory Notes

Yes/No
1.Has there been any tuberculosis, diabetes, cancer,
insanity or any other nervous condition in yourself
or any other member of the family? If so give
particular
2.Have you ever suffered from-
a) Spitting of blood, influenza or a persistent cough?
b) Rheumatic fever, diabetes, palpitation, fainting,
breathlessness, disease of the heart or lungs, any
affection of the kidneys or bladder stricture?
c) Any affection of stomach, liver or bowels
indigestion, diarrhoea, constipation, appendicitis,
piles or rupture?
d) Epilepsy of fits of any kind?

e) Discharge from the ears?

f) Dermatitis, any skin eruption or skin cancer?

3. Have you ever had any accident or surgical

treatment? If so, give full details
4. Have you ever been rejected for life insurance or
for health reasons, for admission to any Government
service? If so give full details
5. Have you ever been receipt of a pension for
medical reason? If so give full details
6. Are you in good health now?

7. When were you last under medical treatment?

a) Date
b) For what treatment
8. Do you suffer from many severe headache?

Note – The above potion of form is to be filled in but signed by the candidate before the examination. Signature is to be
affixed in the presence of the examining office.

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

Confidential MEDICAL OFFICERS REPORT
Candidates appearance, as regards robustness and
activity
Height and weight Height …………………centimetres
Weight ………………. kilograms
After examination, are you perfectly satisfied as to the
clinical efficiency of heart? If not give your reasons in
full.
What is the candidates blood pressure Systolic……………millimetres
Diastolic …………. millimetres
After examination, are you perfectly satisfied as to the
clinical efficiency of lungs? If not give your reasons.
Chest X-ray report required.
Is there any evidence of disease of the abdominal
organs? If so, give particulars
Is there any defect in hearing speech, or any indication
of ottorrhoea, or nasal, throat or sinus infection? If so
give particulars.
Is there any defect or disease of the eye? In all cases Visual acuity
visual acuity, as indicated by test types, of each eye - Without glasses: R………... L ……….
should be indicated. Where the examinee is wearing - With glasses: R ………. L ……….
glasses the visual acuity of each eye with the aid after
glasses is removed should be stated
Colour vision:
Does the candidate possess the normal use of limbs
Does the candidate suffer from hernia or varicose veins
and if so to what extent
Urine examination Colour……………………….
Albumin ……………………...
Sugar ………………………..
Does the candidate suffer from dysmenorrhea
menorrhagia or metrorrhagia?

Is there any evidence of enlarged glands, runny nose,

ulcers, or defects in the joints?

Are there any other conditions which should be

mentioned? If so give details.

MEDICAL OFFICERS RECOMMENDATION

(The examining Doctor is requested to inform the candidate whether acceptance, deferment, or rejection is recommended, but it is not necessary
to inform candidate of the reason.)

This is to certify that I have examined Mr/ Mrs/ Ms …………………………………………………….

He/ She is medically fit / unfit for higher studies.

Official Stamp
……………………………. ………………………
Signature of Examining Officer Date
RMO/RNO/NA/CHW

…………………………….
Print full name