joinery (level ii) application for admission
TRANSCRIPT
THIS COLUMN IS FOR OFFICIAL USE ONLY
Registration Number
ST. BEDE TECHNOLOGY CENTRE
JOINERY (Level II)APPLICATION FOR ADMISSION
Have you previously been a student of this Institute? If the answer is YES state:
(a) Period: from to
(b) Course followed
Are you applying for full time or evening shift?
Full Time (1 ½ year | Mon-Fri | 8am - 4pm)
Part Time (2 years | Mon-Fri | 5pm - 9pm)
EDUCATION
Name of School(s) attended
Examining BodyG.C.E., C.X.C.,N.E.C., etc.
Level of ExaminationGeneral/Basic“O” / “A” Level
PLEASE ATTACHPASSPORT SIZE
PICTURE
Surname
First Name
Other Name
Address
Tel. No. (Home) (Cell)
Date of Birth Sex: Male
Female
Place of Birth Nationality
I.D. / Passport / D.P. No.
DAY MONTH YEAR Age
PPE BOOT SIZE
COVERALL SIZES,M,L,XL,XXL
Info
rmat
ion
give
n m
ust
be
accu
rate
and
cle
arly
wri
tten
in B
LOC
K le
tter
s. T
ick
whe
re n
eces
sary
.
Visit us @ www.mic.co.tt
Rev
: Jan
.201
9
How did you learn about this programme?
Radio T.V.
Press
Promotion Event
Other _____________________________
Ex-Trainee
Social Media
Community Outreach
ENTRY REQUIREMENTS:• National/resident of Trinidad & Tobago,
minimum age of 17 years• CVQ in Secondary School, Carpentry
Level I Certificate OR MIC-IT HYPE OR MuST Carpentry Certificate
• Completion of Level I Carpentry from a recognized TVET Institution OR Equivalent Work Experience
• Copy of National Identification Card• Copy of electronic Birth Certificate• Two Passport sized photos
HEAD OFFICE5A CENTURY DRIVE, TRINCITY BUSINESS PARK, MACOYA.Tel: 1 (868) 663-4642 ext. 3130Fax : 1 (868) 663-6055
ST. BEDE TECHNOLOGY CENTRESt. John’s RoadMT. ST. BENEDICTTel: 1 (868) 645-6702
WORK EXPERIENCEName of Employer
FOR
OFF
ICIA
L U
SE
ON
LY
EXTRA CURRICULAR ACTIVITIES(a) List Teams, Clubs or Groups to which you belong
(b) List Sports in which you take part
(c) Hobbies
Acknowledgement
Entrance Test
Interview
If Accepted-Date Notified
Registration Fee- Receipt No.
Caution Fee- Receipt No.
Group Accident Insurance Premium-Receipt No.
Date of Admittance
By
Result
Time If Rejected - Date Notified
Dated
Dated
Dated
Post held by you From To Monthly Salary Reason for Leaving
-Date
-Date
-Date
Date Bursar/Registrar
PLEASE SUBMIT APPLICATION FORM AT
ANY OF THE FOLLOWING CENTRES
Date
DECLARATION OF APPLICANT PLEASE READ CAREFULLY BEFORE SIGNING
Signature of Applicant
I certify that all information contained in this application is true and correct to the best of my knowledge. I agree to abide by the rules and regulations of MIC-IT. I understand that falsifying any part of this application may result in rejection of the application or termination of my registration with the institution.
NOTE: THIS APPLICATION IS NOT CONSIDERED COMPLETE UNTIL THIS DECLARATION HAS BEEN SIGNED AND DATED.
Name Relationship
Address
Tel. No. (Home) (Cell) Email
EMERGENCY CONTACT (Parent, Guardian or Next of Kin)