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COC Form

1. The document is an application form for occupational competency assessment and certification from the Addis Ababa City Government Occupational Competency Assessment and Certification Center. 2. It requests personal information such as name, age, address, education history, employment status, and contact details from applicants. 3. Applicants must specify the occupation and level they want to be assessed in, as well as whether they are applying for a new assessment or reassessment.

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kolfe industrial
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1K views1 page

COC Form

1. The document is an application form for occupational competency assessment and certification from the Addis Ababa City Government Occupational Competency Assessment and Certification Center. 2. It requests personal information such as name, age, address, education history, employment status, and contact details from applicants. 3. Applicants must specify the occupation and level they want to be assessed in, as well as whether they are applying for a new assessment or reassessment.

Uploaded by

kolfe industrial
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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ADDIS ABABA CITY GOVERNMENT OCCUPATIONAL COMPETENCY

ASSESSMENT AND CERTIFICATION CENTER (OCACC)


Attach your
ASSESSMENT APPLICATION FORM picture
INSTRUCTION here
1. This application form should be filled only by the applicant.
2. Use block letters to fill this form legibly.
3. Don’t use Amharic letters to fill this form.
I.Name of occupation you want to be registered and assessed in
Occupation (የሚመዘኑበትሙያ) ________________________________ level (ደረጃ) ____________
For unit of competence በብቃት መለኪያ አህዶች ለሚመዘገቡ ብቻ
II. Personal information
a. First Name (ሥም) Father’s Name (የአባትሥም) G/Father’s Name (የአያትሥም)
______________________ ________________________ _________________________
b. Sex(ጾታ) Male(ወንድ) Female(ሴት)
c. Age (እድሜ) ______________________
d. Nationality (ዜግነት)______________________
e. Address(አድራሻ)______________________ ______________________
Sub-City (ክ/ከተማ) Wereda (ወረዳ)
f. Telephone (ስልክቁጥር)፡- _________________ ________________ _________________
Home(የቤት) Office(የቢሮ) Cell Phone(ሞባይል)
g. Marital Status(የጋብቻሁኔታ) Single Married Divorced
(ያላገባ) (ያገባ) (የተፋታ)
h. Are you physically disabled (አካልጉዳተኛነዎት) Yes No
If so, explain the nature of your disability
(መልስዎአዎከሆነያለብዎትንየአካልጉዳትሁኔታይግለጹ)__________________________________________________
III. College/institute’s name(የሰለጠኑበትኮሌጅ/ተቋምሥም)
Gov’t/የመንግስት Private/የግል Other/ በሌላ
Training start year _______________________ Training end year _________________
ስልጠናየጀመሩበትዓ.ም ስልጠናየጨረሱበትዓ.ም
IV. Mode of Training Regulare Extension Distance Others
ስልጠናየወሰዱበትመንገድ በቀን በማታ በርቀት በሌላ
V. Type of training/education acquired /የወሰዱትሥልጣና
A. Formal Training TVET B. Non-Formal (short term)
C. Degree Program D. Old Diploma
E. Only Work Experience
VI. Co-operative Training/የትብብር ስልጠና
Name of Enterprise /የትብብር ስልጠና የወሰዱበት ኢንተርፕራይዝ ሥም _____________________________________
Large scale enterprise/ከፍተኛ Medium scale enterprise/መካከለኛ
Small scale enterprise /አነስተኛ Micro scale enterprise /ጥቃቅን
VII.Employment Condition (የቅጥርሁኔታ)
Self employed(በራሱየሚሰራ) Government employed (በመንግስት)
Private employed (የግልድርጅትተቀጣሪ) other(በሌላ)
Unemployed (በስራላይያልሆነ)
VIII. Status of the company you are working in /የሚሰሩበት መ/ቤትሁኔታ
Micro and Small enterprise Medium &Largeindustry
ጥቃቅንናአነስተኛ መካከለኛናከፍተኛ
IX. Register for /የሚመዘገቡት/
Knowledge Test Practical Test Both
ለፅሑፍምዘና ለተግባርምዘና ለሁለቱም
X. Are you registering for
New assessment/ለመጀመሪያጊዜ Reassessment/ለዳግምምዘና
Signature of applicant _________ Date of application ____/____/_______
የአመልካችፊርማ ያመለከቱበትቀንወርዓ.ም

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