Complete ail the parts of this form in BLOCK lotters in order to be considered for admission FOR OFFICIAL USE

FOR OFFICIAL USE ONLY

Student No. Date Received
Approval Date
Year of study 203 4 School/Faculty occupa tional Hea lth and
Safet PracEice le
Campus name
NindhoeK Area/town

PART 1:PERSONAL DETALS

Titie (MrieAdeeDe Surname: AIB
First Names
BATASON Previous Names:
BATISON
IDPassoort No 880AJOOS|4 Male VFemale: D.OB DD20MMOAYY9
Nationality Namiban Country Nambia Town
OuJ
If not Narnibian, state: (a) Type of Pernit!
NA b) Expiny Date
PARI2APPLICANTISTUDENTS GONTACTDTATISN
Celi No. Home Tel No. Work Tel No. E-mail Adaress
O81399OSS
Resicentiat Address
OSI8 3886q6
batrisongibe qml
Postal Address Work Address

sene NA
AR3APPLCANTSTUDENTSOUAELTOATGS ANDTERACTCAL EXERIENGE
Highest Qualification:
Practical experience Field
Crade 1 Complelion Yea: G006
Policine No. of Years
3yeqrs
PARTASAPPIGANTSTUDENTS FARENTO OETA!
(a) Parents/Guardian/Sponsor's Full Names
ID No. (For Parents) Cell No Work Tel No. E-maii Address

Residential Address Postal Address Work Address

i (b) Employer's Name

ID Nos. For Parents) Celi No. Work Tel iNo. E-mail Address
NA N/A NIA A
Honie Adoress
Postal Address VWorh Aodress
SPARIGCUALICATION2AOIRAMoRWACKNOUKAV GHOJINO UDZNDTUDY0
First Choice Cionallea lehand sarety acéie
Second ChocO
ocupulo'alheal qnd sifeyPale levels
Thrd Choce

iNhpproppatc Metho o
Diloma rn Therqpeulr Counselh-eyleuel s
B)

Face-to-face Face t0-Face Distano wth & l o n o a t r

Full-Time Part-Timne Learnng
ENTURSARRoCRANSOFYOURINTERET
STATE ANY OTHER
Dploma n SoCicl ar Irackce
Courses ofyour
Interests 5) Diplona ln
(C) HealE9cene
PPCABLE GEE
(a) Tuton Fees (d)Lab Fees (g)Extecnal Asyo
(b) Applcation/Registration (e)Library Fees (h) Ohor Foe
(f) Protective
C)Sudy Materials Cioths

"Appicalion/Reg1stralion tec Is NOT refundable Assessment Fees means final Assessinent Exan ot Exe:npton Fees Pe Cu
(PC)payable to respecve exam body "Administration Fees covers costs of handtng student's registrntion wth ospect

TBMETHODS OFPEES PAYENS ANEBANKINGDEYAIS

(A) Please note that all the tuition fees must be nade ontirne to avoid interest charges and restriction from sitting for exams No studen: wl be silowe
tor exams if all tuitions ae not paid even if cxam and all other fees may have been paid. (B) The NIT does not accept or recaive CASH pyre
pavments nust be depOsiled into the below bank accourt (C) Please uSe your student number for all payments references (D) Provicde ort of rayro
CcOUnts Department and demand fa teceipt beaing an O!fc.a Comp ay Stanp

A/CName Name of Bank Bank Account No.: Branch Code:

Nalional Institute of First N.ational Bank 62241263110
Technology (NIT)
PART 9: DETAILSOF SO ORFUND8To FINANGEYOWR8
Name of person/oganization responsble for pay1ng your fees
Contact Person (if it is an organ:zation or Trust)
Postal address

Physical Address
E-mail Address
Telepnone

EPYOTOAEGEAENGES
NIT endeavors to establish opportunities to accommodate people with disabiites Beng an emeryty tst
have not yet iemoved all the challenges that Qur students ano other stakehotders wiltidrsatities miy e esshe
To make such improvements, we would be pleased to know in ad vance t you haVe aiy eal n-+de fo
prograrms.
Do youhave any Physical Disabilities | YES T
(A) Give details NIA
(B) Assist us with main needs to nake your atudies cqualiy accessble and heiptul to yeu ds Ou nt
 aRDEGNDONS AeenstenSAND DECLaASON
1, the undersigned hereby agree lo the terns and condilions and declare:
1) lacknowledge that | have familiarized nyself with the prospeclus, courses, sludy methods and procodurs,
assessments and rules of the relevant programs and that l'n fully satisfied with the information provided to rne,
2) Ihereby acknowledge and agree that my parents/sponsors will have access to ny student records and portsl
3) I shall abide by all regulations of NIT and further that the applicant/s shall, if accepted, hold rnyseiflourselves ouns
thereby and to al such rules, regulations and procedures of NIT and be under the disciplinary control of NIT as frorn
the date on which he/she is admitted as NIT student, until I fully complete my studies at NIT or untu NIT acCeL, ny
withdraw from my studies where this may be the case;
4 Iunderstandthat the official confirmation of my studentship with the NIT shall be through the Official Adrnission/
Registration Letter or byvirtue of my being allowed to commence with classes by the NIT's Management as per
published institutional Calendar and Time Tables.
5) Tundertake to be responsible for checking and fully complying with the institutional notices and publ1calions including
the Time Tables, Institutional Calendar, Events etc. through the E-Learning Portal, Notice Boards. Announcement. anc
Press Media etc. at all time.
6) Thld myself responsible for the total payment of tuition fees, notwithstanding the fact that my sponsor has undertaken
to pay the full tuition fees relating to my studies;
) i agree that NIT reserves the right to withhold my results and charge interest on any outstanding amountor monthly
tuition fees instalments;
8) accept to be held liable for any damage io the NIT's property caused by me and indemnify the NIT against any loss
willalso indemnify the NIT against any claims whatsoever for damages howsoever caused in respect of property left at
the NIT by me (applicant) and against any claim whatsoever for damages howsoever caused or arising which me
(applicant) may sustain while registered as a student at the NIT, acknowledging my (applicant's) participation in any
sporting events or other activities at the NIT or conveyance of applicant in any NITs vehicle, shall be at my
(applicant's) sole and absolute risk;
9) understand that NIT does not receive cash payments hence l'm required to deposit my fees into the Official NIT FNB
Bank Account as per details provided in this agreement.
10) understand that the NIT Debit Order arrangement is the only authorized method to settle outstandingstudent fees
11) That a statement signed and officially stamped by the NIT Accountant or his/her delegate shal represent the amount
owing to NIT by me/us, and further that in the event of such amount being handed over for collection, I/we shall pay al
legal charges incurred on the attorney and client scale:;
12) That l/we shall pay all interest on all overdue fees, and disbursements at a rate of 20% per annum compounded
monthiy and calculated from the first day of each month following the date by which final payment of all fees and
disbursements must have been made:
13) Althe Fees are subject to change without notification. However, where such changes take place, registered students
will not be subjected to the changed fees unless this is in their favor;
14) That /we accept that NIT keeps documents, including this Enrolment Agreement, electronically and distributes them
as such. NIT shall at all times be entitled to utilize such documentalion in electronic format for whalever purpose
required and I/We agree that the electronically generated documents shall replace the originals signed by me
15) I'm required to attend all the teaching and learning sessions and periods throughout the academic period as per
timetabies and other schedules. In case of absence without leave of absence, I}l provide an acceptable registered
medical doctor's certificate or face disciplinary actions and/or deregistration as per institutional policies I also
understandthat Ishall remain responsitbie for payment of fees even if I don'tattend classes
16) The NIT, may deem necessary to report my class attendance, behavior or study performance, health problems etc to
my parents, guardians, sponsors, employers andlor examination body:
17) The NIT reserves the right to (ihrough procedural disciplinary process) dismiss and de-register any student at any tine
for behavior which is deemed to be unprofessional, inappropriate or disruptive to other students. In such a case, NO
fees willbe refundable for any student dismissed under this section and student shall remain liable for any outstanding
account:
18) The NIT wili issue supporting documentation for study visa applications (where requested) covering the course
duration. To qualify for such service, student must show proof of a minimumn tuition deposit payment of 30% based on
a minimum number of three (3) courses (subjects);
19) Students sponsored by employers must provide employer's sponsorship letter to support their studies prior to cOurse
Commencement:
20) NIT believes in non-racial, non-sexist, non-discriminative society where no one is discriminaled on whatever grounds,
21) | acknowledge that Tuition Deposit payments of 20% for annual course programs and 40% for semester course
programs are required before start of the classes and the balance payments must be made to NIT in eight (8) equal
instalments for annual courses and four (4) equal instalments for semester courses;
22) Student Grievances Procedures: Iunderstand and agree that, unless on NIT's conduct thal conflict the State Laws,
procedurally. I'm must first exhaust al the internal avenues of having my compliantigrievance addressed by NIT before
can consider turning to any external agency such as any local regulatory agency, governnment, court, nedia or any
other. Student may report any grievances to Students Affairs @nit-edu.org: Regisirar@nil-cdu.org_ or
Complainis@nit-edu.org or obtain and complete the Student Grievance Procedures Form from any NIT or download
it írom ww.nit-cdu,org and e-mail it tothe above e-mailaddress.
 1. the undersigned hereby agree to the study withdrawall/cancellation procedures, terms and conditionsand declare tha:
1) | fully understand and acknowledge that any Course Withdrawals or Canceilat1ons must be receved by the NIT
Board of Studies (BOS)in writing five (5) working days or more prior to the class commencement date and that ro
refund shall be allowed if any withdrawal or cancellation is made in less than five (5) working days prior to cass
Commencement.
2) Upon submission of the withdrawal andlor refund request, I shal take responsibility to obtain an offical
acknowledgment leter to confirm the withdraw request submission.
3) The Board of Studies (BoS) will normally sit once in a month. A BoS' resolution letter will be issued and sent io re
(the student)stating the outcome of the withdrawal or refund request to the requesting student 2-3 weeks thereafter
4) Where a refund is approved by the BoS, the registration fee shali not be refunded but tuition fees (80%) shal be
refunded less 20% (of tuition fees) to cover administration fees;
5) Registration fees are non-refundable and non-transferable:
6) Any refund payments shal be made directiy to the sponsors or student financers who must have paid NIT for the
student's studies.
7) No any refund is made if i(the student) siops attending classes or i am suspended from studies due to my failure tc
comply with the institution's rules and requiations. In this case. the student shal! forfeit any amounts paid to the
center andstill renmain liable for any outstanding fees:
8) Considering that our qualifications are internationaily recognized and accredited in their countries of origin in whie
they have good standing. no refund shall be made on grounds of the offered course program not being accreditec
by NQA or NTA. However, where it's proved that any of our such qualifications is not registered. approved, and has
no good standing in its country of origin, arefund may be approved by the Board of Studies provided tinat the
student provides evidence that the information given to him/her by the NIT siaf responsible for his/her recruitment.
clearly ciaimed that such a program was accredited by NQA, NTA, any other agency.
9) A student shal! be de-registered from his/her course program and the institution i shehe does noi attenc
educational work (classes/lectures, assessmenis, or practical lesson/Ëob attachments) without approved sick leave
or written pre-approvai of the Executive Management Committee or the Boardof Studies (BOS) for a consecutive
period of ten (10) working days. Al! the authentic Medical Reports supporting students absenteeism iro
educational work are subject to EMC/BoS approval. Ade-registered student shall forfeitiose any fees paid withou:
any further correspondence. A Student whose account has unsettied amounts wil! be pursued unti! the account s
fully settled despite having been declared non-active.
10) All qualifications offered by the National institute of Technology (NIT) were developed through a rigorous quaity
assurance process and have been submitted to NQA and provided with the Nationa! Quaifications Framework
(NQF)qualification number. The Engineering Counci. of Namibia (ECN) has recognized al! the NIT level ô and level
7Engineering, Software Engineering, and Network Engineering programs. Allthe NIT qualifications. therefore. are
of good quality hence no refund shali be made on grounds of any qualification offered by NIT not being accredited
by NQA or any other agent.
11) Astudent who is not satisfied with BoS resolution regarding the refund request may appesl to the Students
Appeals
Board in writing within 5 working days from the date of receiving the outcome.
12) it shall be considered a violation of the institutional policies ií astudent opts io repori any niemai operaions
concerns/cases such as unsatisfactory teaching and learning, refund. or staif misconduct to any extemal authorities
or individuals e.g. NQA, NTA, Police, Legal Attorneys. etc. without exhausting internal channels and platoms of
resolving such concerns. NIT will consider actions of any external agency to be interventions into the operaticns of
the institution untess where there is a violation of the National laws or where a student has exhausted all the intenal
avenues to soive the iSSue.
13)The National Instituie of Technology (BIT) reserves the right to (through the procedural process) dismiss and de
register any student at any time for behavior that is deemed io be unprofessional. inappropriate. or disnuptive to
other students. In such acase. NO fees will be refunded for any student dismissed under this section ant tr
student shall remain liable for any outstanding account.

B-As
 1) No any relund is made ifthe student stopsallending classos oris susponded ftom studues due to hchoctaturs to conoy atsto
institution rules and regulalions. In this case, studenl shall forlcit any amounts paid to tho I and ttl roman bable fot 3y
outstand1ng fees;
2) It is a compulsory requiremet to allend all educational sessions/work (classes/lectures, asse5stnents or ptacticai lez
attachments) as scheduled and/or stipulated in the time lables, annual calendar and as may be roqured al arny tmg to A
student who anticipales not to be able or fails lo repor orlaltend all educational sess1ons/wotk (classsslhctures issesreni
practical lesson/job attachenls) may:
a) Contact his/her Leclurer/nstructor or Head of School to request for permission lor absence frorn class4s/ectures, riy/ pu/del)
that the request is for NOT More than ONE (1) day only. Student's Lecturer or Head of School only have authoty to pr
student's absence from classes/leclures for ONLY one day in amonth. No Lecturer or Head of Schonl sr all apgous tudeot t
absence from assessments, job attachment or Practical lessons. In such cases, student must apply fror roma leae
absence.
b) On hisher return to the campus, submit an authentic Medical Doctor's Certificate with grounds of hrs/ner absenlugsr ac
numbers of days that he/she is permitted by the Doctor to be absent from educational sessions/work (cassesi6clue
assessments or practical lesson/job attachments) on medical grounds. Astudent who has been certfied by a MedcalD r o
be on bed restlunfit for work/studies for any given days must ensure that he/she fully complies with the Doctors instruors
Shouid such a student be found to be in adifferent location other than his/her area of domain. the Institution may not cansiccr
the Doctor's Medical Certificate.
c) Apply for Leave of Absence (LOA) from educational sessions/work (classeslectures, assessnents or practical lessrct
attachments)on other critical grounds such as family member's illness, marriage ceremonies, death or financial obstacies. work
etc. Such student MUST only proceed on leave (be absent from educalional sessions/work (classes/lectures. assessments or
practical lessonljob attachments) once his/her leave (LOA) has been dully approved and signed by the CEO and a signed copy of
leave is served to him/her by the Campus Call Campus.
3) Astudent who absents himherself from any educational sessions/work (classes/lectures, assessments or pracical lessono
attachmenis) without any of the above shal have five percent (5%) marks per missed day deducted from a testlassignment or
examination of missed course unit/subject.

BAS
 I. the undersigned hercby declare:
a) That I (the student) acknowledge and undorsland the provisions of tho decdaration ol ths entolment agreenmont, and
hold myself bound thereby, and all other provisions of this enrolment, and by the rules, and procedure, of Natnal
Inslitute of Technology (Ply) Lid (NIT) for ny study period with NIT inclusivo of any atnendment, or alteratols Ihereoi
during the period that Iam a registered student.

b) That I(the student) hold myself responsible for the full payment of luilion leos, notwitlistanding hs lact that rny
employer/sponsor has undertaken to pay the full tuition fees relating thereto.

c) Acknowiedge that the Centre reserves the right to change my course of study from irst chorce to seond chu te tor
andconditions for the second choice will apply.

d) That I(he student) shall abide by al regulations of National Institute of Technology (NIT) and further that the aptilcant
shall, f accepted, be under the disciplinary control of theNIT as rom the date on which he/she takes up residence atne
NIT orthe day on which he/she commences studies or attends an orientation week or registers as a student, whiche.E
isdueearliest,
date;
until the NIT accepts a notice of withdrawal from me/us or applicant fails to renew his/her registratcn or the

e) distributes
That I(the them
student) accept thatthe NIT keeps documents, including this Decaration and Agreement, electron1caly ara
as such. The NIT shall at the all times be entitled to utilize such documentation in electronic f0rrma: i3
whatever purpose required and Iagree that the electronically generated documents shall replace the originais signsc oy
Me.

Signature of Applicant Month

3G 2 DATE
RART 15 DECLARATIONANDUNDERTAKINGS BY APPLCANTS PARENTSIGUARDIANISPONSOR
1, the undersigned hereby declare that:
(a) I(the student) agree and consent to the above declaration, undertakings, waiver and indemnity by the applicant. I
consent to the applicant signing the registration forms if admitted.
(b) I(the studeni) hoid myself jointly and severaliy liable with the applicant as co-debtor for all amounts due by the appicant
to National institute of Technology (NIT) until Inotify the NIT in writing to the contrary in which event such
shall take effect oniy from the beginning of the foliowing academic year. notification
(c) 1(the student) irrevocably undertake thatl shall not, in any capacity, hold the NIT liabBe for any damage or loss
ihe applicant or any person may sufíer under any of the circumstances set out in the appiicants deciaration. which

Parent/Legai Guardian's Day Month Year

Signature DATE

ERGOHECK
1) Fully Completed, Signed and initialed Enrolment Agreement 2) Certified copies of Qualifications
3)Passport size photos/pictures 4) Certified Copy of !D/Pass port
5) Sponsor's Letter 6) Certified copy of Permit (for non-Namibian acplicants)
7) Proof of Registration Payment 8) Proof of Deposit Payment

FOR OFFICIAL USE ONLY

APPLICAO
1ON AND AGREEMENT APPROVAL
AUTHORITY NAMES SiGNATURE DATE
Registered by Gladys Mloyo
AR-Admissions
Selection Commitee Member
Approvedby the Director
 andNational
thereof applicant
thewhichever
the andtor by applicant
notification Year
course
choice applicants)
at on signed
format which
agreement, elecironically DATE
residence
registration
alteralions Year
of my the originals
electronic applicant
the loss
student, SUch non-Nambian
procedures that that declaration.
by or
enrolment fact
second
choice
tO up
further PARENTISIGUARDIANSPONSOR
dueevent damage
or a his/her Agreement,
takes the the
amendments as in amounts Month
and
the
registers replace
documentationMonth by Qualifications
port SIGNATURE
which
notwithstanding andhe/sherenew indemnity anyappiicants (for
this 3DATE iDIPass Payment
rules (NIT) Permit
and shall all in for APPROVAL
of first
from which to forcontrary
declaration
theany or Iiaole
Technology fails
week
Declaration Day
docurnents and co-debtor the of of
Day copies of Deposit
by of on applicant such NITin Copycopy
waver
andinclusive fees, study
course
of dateorientation the
the out Certified ONLY
thereto. utilize DATE AOREE Certifed
Cerufied of
theenrolment: luition of the this generaled as to holdset
undertakings, Proof AGREEMENT
wriing
applicant circumstances
of Institute or to year
NIT relating from including ARELCANTS capacty. T2)S 4) 6) 8) USE
provisions of an melus entitled academic
with payment as attends admitted
in
ihis change
my National
NIT from electronically theNIT OFFICIALNAMES
period fees documents, declaration. any
be the
theof tuilion theor withdrawal times if with following the Agreement
SUEMIED AND Gladys
Mloyo
provisOns full EY forms notify in
undersiand
study the of of studies iable of
not,
the
to
right control
requlaions UNDERTAKINGS
student.for full
all
keeps the req1stration
|
any
shall FORAPPLICATION
my apply the aboveseveraliy
untilthe Enrolment
the commences under
other for responsible
pay
of
disciplinary at that (NiT) l
of that TOBE
registered will notice NITshall the beg1nning
and (NIT) Centre
reserves all agree suffer
all to choice and underlake
theNIT to the ofTechnology Initaled
acknowledge undertaken by a I thal consenl ITENS
andLid abide accepts
he/she that and jontly
signing may
declare: myself the The declarc the onm
lember
tee
(Piy)
a second DEGLARATONAN ootof
Payment
Reg1stratcn
thereby; acceptrequired
an
hold
under
shall which such and
myself
applicant
person
irrevocably
from OF andsize
aspct
photos/pClures
hereoy Technology l has
NIT Guardian's
Parent/LegalLIST Signed
student) that
student)
thethe be
student) the student)
as purpose
Applicant hereby oniy any
agree holdInstutute
bound employer/sponsor on
period that
for accepled, them 8CHECK
effect or
undersigned conditions dayuntil
Acknowledge thestudent)student)
undersigned
student) applicant
Letter
5sct
mpleted AUTHORITY
(themyself
of the (the (the theCarliest, (theUistibutes to Naional
date,
due whaleverSignature
of take
|
Irsltute
during ThatI I if or 2R06 consent I(he Signature Cc
shall. l (ihe bI(the shall
Thatlold and Thal NIT That the Fiy
1S me to
the the
b) d) (a) C)
I a) c) c) I
 Applicants must meet any of the following entry requirements:
1) Tventy-five (25) ponts in Nam1biaSenior Secondary Certiflicate Ordinary (NSSCo) (grade 11) (old grade 12) in ive (5)
subjects with aDor better symbol in English English shall be part of the fivo (5) subjecls you must have completed) or.
2 Any recognized related qualification at NQF level 3 or equivalent with total credit value as required by the NIT
policy/regulation.
3) Applicanis with Twenty (20)and above points in grade 12 (now grade 11)in six (6) subjects with an E or botter symboi
in Enalish (of which English shall be part of the 6 subjects) may be accepted provided that they have passed an
Aptitude Test with a Minimum of 60%.

4) Mature age entry provided that applicant

(A) is 23 years old or over at atime of making the application;
(B) has at least five (5) years' work experience in a related field and provides acceplable reference from a reputable
respective employing organization:
(C) has at least passed grade 10 which must include E in English and
(D) must pass an Aptuiude test with aminimum of 60%
OR
(A) is 23 years old or over at a time of making the application,
(B) has at least three (3) years' work experience in a related field and provides acceptable reference from a reputable
respective employing organization;
(C) has at ieast passed grade 11 (old grade 12) which must include E in English and
(D) must pass an Aptitude test with a minimum of 60%.
Rnnno prograr Gertiicate Level 4) Entty Requirements
Applicants wiih Fifteen (15) and above points in grade 12 (now grade 11) in six (6) subjects may be accepted provided that
they have passed an Aptitude Test with a Minimum of 60%.

PLEASE NO TE THAT
1) Applicanis for engineering programs must, in addition, have an E, or better symbol in Physical Science and Mathematics
2) Applicants for the Biomedical Sciences program must, in addition, have an E or better symbol in Biology and Chemistry.
3) Applicants for the Occupational Health and Safety Practice program must in addition, have an E or better symbol in
Chemistry and Biology
4) Applicants for Education and Trainingmust refer tospecific entry requirements stipulated on the atiached document.
5) International applicants must have aminimum of Five (5) General Certificate of Education (GCSEs) at ordinary leve! or
their equivaleniincluding passes in Math's and English.
Please visit wwwW.nit-edu.org îor more intormation.
CHECKLSTFOF REeuRED REGSTRAToN BOcUENTS
(FLEASEuCKWAATYoUHAVE PROVDED)
1. Certified Copies of National ldentity Card

2. Certified Copies of Ful Birth Certificate

3. Certified Copies of Parents' National ldentity Cards or Death Certificate (if parents are deceasedy
4. Certied Copies of Grade 10 and 12 Certificates and any other Qualifications
5. lífunded by NSFAF,Certified Copies of Parents' Proof of Income/Pay slips (if employed) or Police
Declaration that Parents are unemployed musi be submitted
6. Payment of NIT Application/Registration Fees
7. Certified Copies of Sponsorship letler if applicanl is being sponsored by any organization
8. Two (2) Pass Port Photos

faou Hear AboutNIT

kOcal newspaperadven Gopgle seach.
Social Meaia AANIT EVentERhjbton
Through NT WeDate ThiroLgh Fonmer Gudent
Radio
other olease state

B. As
 TNDEMNIFIGATIONIHOLD HARMLESS
AGREEMENT
schol blstrlct and outslde organlztlon Actvltes
This is an indemnification and hold harmless agreement to be effective when visiting the National Institute
tours within
of Technology (NIT) Pty Ltd for various undergraduate recruitment and outreach aclivities and
a given academic vear,
The National Institute of Technology (NIT) Ply Ltd shall defend, indemnify and hold the regents of the
National Institute of Technology (NIT) Pty Ltd, its officerS, agents and employees harmless from and
against any and all liability. This covers loss, expense (including reasonable attorneys' fees), or claims for
injury or damages arising out of the performance of this agreement. This is only in proportion to and to the
extent such iability, loss, expense, attorneys' fees, or claims for injury or damages are caused by or result
from the negligent or intentional acts or omissions of the school district or organization, its officers, agenls
or employees.

"NDEMNITEE"
Signed:
By: abrsn
Date.3 204
"NDEMNIFIER"
Signed:

By:

Date:
 The Students Support Office
Ottice of the Registrar
National Institute of Technology
Windhoek

Date 93anuay 2o24

Re: Request Form for Assistance to apply for NSFAF Funding for my 2024 Studies

LBabrson.AS hereby wish to request NIT to assist me

Application for NSFAF Funding. Ifurther declare that, I will be monitoring
to do the Online
my own NSFAF portal to check the status of my online application.
My full details are as follow:
Course: Ocenpatna healt qnd safy prackce leelt
ID Number: 880900Gl4
Email Address
Contact Number:OI3AIOSISZOSL338869 6
Student Number:

Ihave enciosed the required documents as follow:

Documents Reouired TCkSgnature

1) Certified D Copy
2) Certifiedcopy ofown pay slip/declaration (if not working)
3) Certified copy of Full Birth Certificate
4) Certified copy of Grade 11 or 12 results
5)Certified copy of Father or Guardian ID
6) Certified copy of Mother or Guardian ID
declaration
7) Certified copy of Father or Guardian Pay slip or
declaration
8) Certified copyof Mother or Guardian Pay slipor

Yours Sincerely,

Names: Rarse Aiß signture:

B.Aiß
 NAMIBIA! POLICE
SWORN AFFIDAVIT/ DECLARATION

FULL NAME:.botsison...Aib.
STATE UNDER OATH:

LD. NO: .830A.O.s.t.... ITIZENSHIP: Narika. SEX: M

...S. YEARS OF AGE, OCCUPATION:
HOME ADDRESS: ..Geenkaa.ton.. TEL: .OKL39ASAS
WORK ADDRESS: TEL:

MY HOME LANGUAGE IS.hekhe.Oo BUT STATE IN ENGISH:

...R..I..coa.t..s....ay...i.c.ArSA..n

2024 -03- 2.6

....

IKNOW AND UNDERSTAND THE CONTENTS OF THIS STATEMENT.

IHAVE NO OBJECTIONS IN TAKING THE PRESCRIBED OATH.
ICONSDER THE PRESCRIBED OATH TO BE BINDING ON MY CONSCIENCE.

PLACE:

DATE: ..J.Q...Do ose DEPONENT: ....

TIME: BEFORE ME:

I CERTIFY THAT THE DECLARANT KNOWS AND UNDERSTANDS THE CONTENTS OF THIS
DECLARATION,
AFTERHE/SHE READ IT THROUGH AND AFTER ACKNOWLEDGING THE CONTENTS OF IT, HE/SHE PLACED
HIS/HER SIGNATURE/THUM3PRINT THEREON IN MY PRESENCE AT NAMPOL OTJIWARONGO/ SUBSTATION
OTJIWARONGO.
ON THE:....:0..a.:
COMMISSIONER OF OATH
Private Bag 2509
OTJIWARONGO
 Republic of Namibia

Ministry of Education
in collaboration with
University of Cambridge Local Examinations Syndicate

International General Certificate of Secondary Education

This is to certify that the candidate named below was awarded the
following grade(s) in the subject(s) shown:
November 2006
BATISON AIB
Date of Birth: 20 September 1988

Subject Grade
Business Studies C(c)
Accounting D(d)
English as a Second Language D(d)
with Grade 2(TWO) in OrallAural
Afrikaans as a Second Language E(e)
with Grade 3(THREE) in Oral/Aural
Economics E(e)
Environmental Management E(e)
SUBJECTS RECORDED: SIX NPOL
n irue reproduction/
ortify that this d 1Ded y me ane

aun altore 2024 -C1- 26

CHARGE OFFICE

Permanent Secretary Vice-Chancellor

Ministry of Education, Namibia University of Cambridge

Candidate Number: NAMO9/0048

Certificate Number: 0017460674
UNIVERSITYof CAMBRIDGE
International Examinations
 Israel Patrick lyamb
BIAN
Po

Police College

Certificate of AchiexeTent
)ntt reocducton/
doy me an
iy ihat (his

2024 -01- 26

This is to certify that

B. AIB
023650 CST
No Rank
successfully compleed a course in
BASIC POLICE TRAINING

2014-07-01 2015-02-20
From To

:cINSP DEPICOMM
"Instructor Commandihg Oficer
E.D NAMBAHU - N.NIFO

Date 20 February 2015 ONDANGWA

Placeof Issue
 REPUBLIçOF NAMIeIA
NATIONALIDENTITY CARD
No 880920 0051 4
SuRNAME sn
AIB
FAST NAMEIS)

BATRISÞN

ONDJ!I
eproduction/
e by me and
a has not
2024 -01- 26

CHARCE
DATE OF BIRIH cImzENSA
1988-09-20 CITIZEN
PLAOE ICoUNTRY OF DIATH
TSAWIS
GENDER NEIGHT/M EYE COLuA
MALE
OATE OF ISsUE
1,65 BRO'WN
2006- 12-04
APPL-NO.

SO1538

88092000514