Ojt Trainee Application Form

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TRAINEE APPLICATION FORM -NEW
Nationals between the ages of 16-35 are invited to submit applications for admission to On-the-Job-Training opportunities.
For further information please call: 800 4OJT (4658).
FOR OFFICIAL USE ONLY
REGISTRATION NO. : _____________________
DATE RECEIVED: __________________________
REGION: _________________
PLACEMENT DEVELOPMENT OFFICER: __________________________
ASSIGNED TRAINING PROVIDER: _________________________________
1. NAME:
Surname
First Name
Middle Name
2. ADDRESS:
3. DATE OF BIRTH:
DD
MTH
YR
4. BIRTH CERTIFICATE PIN:
6. E-MAIL ADDRESS:
5. SEX:
M
F
7. TELEPHONE NO:
8. NIS NO.:
9. MARITAL STATUS:
10. I.D CARD / PASSPORT NO.:
11. HIGHEST LEVEL OF EDUCATION ATTAINED:
Junior Secondary
Senior Secondary / Secondary
Primary
Tertiary
Youth Camp/ Trade Centre
Technical Institute
Other
12. ON-THE-JOB-TRAINING DESIRED:
1.
1.
Please indicate your
areas of interest
2.
13. EDUCATION:
Secondary School/
Tertiary Level Institution
Certificates, Diplomas
Year
Attended
Course/Subjects Taken
and Degree Obtained
Grade(s)
Obtained
1

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