DI RECTORATE OF IN DUSTRIAL ING
MINISTRY OF EDUCATION AND SPORTS
P.O Box 20050, KamPala, Uganda
T E L: 04 142 59 4L2I O4t425L256
[email protected] lnstitution Location Date of ReceiPt of
Qualification
Qualification
(Attoched certified copies ol the cenificotes)
Section D: Work ExPerience
Period lnstitution Location Position
Section E: Additional Competences
Do you possess any other qualifications? vesfl ruo E
lf yes, please provide details and attach certified copies of certificates
lf recruited as an Assessor what additional values will you be able to contribute to the TVET sector?
Section F: Declaration
t, hereby certify that the information supplied above is accurate
and true to the best of my knowledge'
Signature:
Date:
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DIRECTORATE OF INDUSTRIAL TRAINING
MINISTRY OF EDUCATION AND SPORTS
P.O Box 20050, Kampala, Uganda
T EL: O 4L42s9 4L2I O 4L425 LZS 6
[email protected] ACIFOO4
Attach2
coloured
APPLICATION FORM FOR ASSESSOR Passport size
Photograph
Form when completed must be presented to the Principal here
eualifications Officer
of Assessment and Certification Department with attachment of TWO cotoured
passport sized photograph .
Occupation applied for:..........
Section A: Personal Details
Section A: Personal Details
Name
Sex
Date of Birth
District
Home Address
Phone Number
Email
Section B: Current Em ployment Details
Organisation name
Position/Designation
Office Phone
Location
District
Phone Number
Email
i,
Section C: Academic Background
a. General Education (Circle the oppropriote
figure)
' Primary L,2,3,4,5,6,7
' Secondary L,2,3, 4,5,6
b. Technical/Occupational eualifications
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