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Applicants Form

The form collects personal details of the applicant such as full name, gender, date of birth, ID number, and contact information. It also requests education background including secondary school attended, KCSE certificate details, TTC attended, and course applied for. The applicant must declare any disabilities and certify the accuracy of the information provided. A representative of the State Department of Early Learning & Basic Education must also declare the accuracy of the details and sign the form. Certified copies of documents such as academic transcripts, certificates, ID card, and TSC registration must be attached.

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94 views2 pages

Applicants Form

The form collects personal details of the applicant such as full name, gender, date of birth, ID number, and contact information. It also requests education background including secondary school attended, KCSE certificate details, TTC attended, and course applied for. The applicant must declare any disabilities and certify the accuracy of the information provided. A representative of the State Department of Early Learning & Basic Education must also declare the accuracy of the details and sign the form. Certified copies of documents such as academic transcripts, certificates, ID card, and TSC registration must be attached.

Uploaded by

SteveBikoM
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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MINISTRY OF EDUCATION

STATE DEPARTMENT OF EARLY LEARNING & BASIC


EDUCATION
DOCUMENT “A”

APPLICANTS’ REGISTRATION FORM FOR UPGRADING OF PTE


and ECDE certificate to DIPLOMA

THIS FORM SHOULD BE FILLED BY THE APPLICANT IN THE PRESENCE OF THE OFFICER
IN-CHARGE

PART 1 – PERSONAL DETAILS


1. FULL NAMES IN BLOCK LETTERS___________________________________

2. GENDER: ______________________________________________________

3. DATE OF BIRTH_________________________

4. IDENTITY CARD NO. _____________________________________________

5. CONTACT ADDRESS______________________________________________
6. MOBILE NUMBER_____________ e-mail (if-any)___________________

PART 11 – EDUCATION BACKGROUND

(a) Last Secondary School attended: ____________________________________


From: ____________________To: __________________________________
(c) KCSE Certificate Number _____________Year_____________________
(d) Index No. _____________________________________________________

(e) Mean Grade ___________________________________________________

(f) TTC ATTENDED_________________________________________________

(g) YEAR GRADUATED_____________________ Grade _______________

(h) TSC NO. ………………………………………..


1
PART III – COURSE APPLIED FOR (Tick as appropriate)
a) DPTE
b) DECTE

PART IV – DECLARATION BY THE APPLICANT


Do you have any disability? YES/NO _________

If yes, state the nature of disability _____________

I certify that the particulars given on this Form are correct to the best of my knowledge.

Signature of the Applicant______________________________________________________

Date _______________________________________________________________________

PART V – DECLARATION BY THE SCDE


I certify that the particulars given on this form are correct.

Full Name ______________________________________________________________________

Signature _______________________________________________________________________

Official Rubber Stamp_____________________________________________________________

Date___________________________________________________________________________

NOTE

1. Certified copies of the following documents must be attached to this form:


(i) PTE Certificate/ECDE Certificate
(ii) Two years academic transcripts
(iii) A college Leaving Certificate.
(iv) KSCE Certificate
(v) Two recent passport size photographs
(vi) identity card (both sides)
(vii) TSC Registration Certification
2. A letter as evidence of adherence to positive moral values and good behaviour.

3. It is an offence to give false information.

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