NAMCOLNamibian College of Open Learning

APPLICATION FORM FOR TVET PROGRAMS 2016

SUPPORT SERVICES Private Bag 15008, Katutura, Republic of Namibia

Telephone: +264 (61) 320 5111Fax: 264 (61) 216 987

Automotive Mechanics

Student No:

Title:

Surname :

First Names:

Date of Birth :

ID Number:

Male Female

Do you have a disability? Yes No (information required for planning purposes only)

If “Yes” please specify: .......................................................................................................................

Postal Address: Street Address:

P.O. Box ..…………………….......……….......… Street ………………............................................…

Private Bag …………………………................... Erf No. ...........................................………………...

Telephone Numbers:

At home: code: ……....…... Tel: ………………................. Cell: ..........……….......……........

E-mail: .....................................................................................................................................

Name of Employer: ……….............................................................................…………………………

Position held: ……...........................................................................................................…………….

Guardian's Name: ..............................................................................................................................

s: .................................................................................................................

Tick (√) in the box next to the programme you would like to apply for:

NB. Only at Jetu Jama Centre, Katutura

Y Y Y Y - M M - D D(year-month-day)

Welding and Metal Fabrication

Otjiwarongo CentreOngwediva Centre

Rundu Centre

Trade: Administration:

APPLICATION FORM FOR TVET PROGRAMMES 2018

NAMCOL

Namibian College of Open Learning

Attach photo

Closing date: 27 October 2017

LEARNER SUPPORT SERVICES

Private Bag 15008, KatuturaRepublic of Namibia

Telephone: +264 (61) 320 5111Fax: +264 (61) 216 987

1

Level:

Level:

NAMCOLNamibian College of Open Learning

APPLICATION FORM FOR TVET PROGRAMS 2016

SUPPORT SERVICES Private Bag 15008, Katutura, Republic of Namibia

Telephone: +264 (61) 320 5111Fax: 264 (61) 216 987

Automotive Mechanics

Welding and Metal Fabrication

Student No:

Title:

Surname :

First Names:

Date of Birth :

ID Number:

Male Female

Do you have a disability? Yes No (information required for planning purposes only)

If “Yes” please specify: .......................................................................................................................

Postal Address: Street Address:

P.O. Box ..…………………….......……….......… Street ………………............................................…

Private Bag …………………………................... Erf No. ...........................................………………...

Telephone Numbers:

At home: code: ……....…... Tel: ………………................. Cell: ..........……….......……........

E-mail: .....................................................................................................................................

Name of Employer: ……….............................................................................…………………………

Position held: ……...........................................................................................................…………….

Guardian's Name: ..............................................................................................................................

s: .................................................................................................................

Tick (√) in the box next to the programme you would like to apply for:

NB. Only at Yetu Yama Centre, Katutura

Y Y Y Y - M M - D D(year-month-day)

Otjiwarongo Centre

Otjiwarongo Centre

Trade: Administration:

Regions:1

1

Mother Tongues:

Academic Institution obtained Year

Experience in related of work:Position Institution Year (eg. 1990-2013) Responsibilities

Why do you want to enrol for this programme?

………………………………………………………………………………………………….....……………

……………………………………………………………………………………………………….....………

……………………………………………………………………………………………………….....………

…………………………………………………………………………………………………….....…………

I understand that completion of this form does not necessarily mean automatic acceptance into the training programme requested. I agree to make myself available for the aptitude testing and interview. I further acknowledge that if accepted into a training programme, I will sign the Trainee’s Code of Conduct agreeing to abide by the Training Centre’s Rules and Regulations.

Applicant’s Signature: ………………………………………. Date: …...........…….........................…….

Signature of Guardian (if under the age of 18): ..................................................................................

NB!! Attach all copies of documents, work experience (e.g. testimonial letters) and your passport photo.

Result Interview Result FinalCHECKLIST:

Reject / Accept for Aptitude Testing of Aptitute Test Date of Interview Decision

Initials of Evaluator: ....................... ............... ............... ................... ..............

Afrikaans

English

German

Ju!'hoansi

Khoekhoegowab

Oshikwanyama

Oshindonga

Ojtiherero

Rukwangali

Rumanyo

Setswana

Silozi

Timbukushu

Other:....................................

Include all required paper work

Completed application form