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TLOKWENG COLLEGE OF EDUCATION
TELEPHONE: 3928351
FAX: 3928382 | PRIVATE BAG T01 TLOKWENG
APPLICATION FORM FOR DIPLOMA IN PRIMARY EDUCATION
For Official Use: Application Number: ………………………………… CLOSING DATE: 29th April 2023
Admission Year: 2023/24
1. Sur-
name: …………………..………………….. Other Names: ……..
………………………………………………….
Male: ………… Female: ………… Date of Birth: …………………………………… Age:
………………
2. Citi-
zenship: …………………………………… Omang/Passport No:
………………………………………………
3. Mari-
tal Status: Married/Single/Divorced Other:
…………………………………………
4. Hom
e Address:
………………………………………………………………………………………………………………
Tel No: …………………………………………… District:
………………………………………………………………
5. Ad-
dress for Reply:
…………………………………………………………………………………………………………
Cell No.: ………………………………… E-mail Address:
……………………………………………………………
6. Nam
e of last Senior Secondary School attended:
…………………………………………………………………
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Year of Completion: ………………………
Who fnanced your education at Senior Secondary Schooly
Parent/Guardian Social Services Department Other (Specify)
……………………
7. Aca-
demic Qualifcations: BGCSE POINTS: ……………… COSC POINTS:
……………………………
Other Exam(s): ……………………………………………… Year of Completion:
……………………
1. Plea
se specify any other qualifcations/training/Tirelo Sechabay
………………………………………………………………………………………………………………
………………………
8. SUBJE
CT RESULTS: In each box put the letter grade that you obtained in the subject.
English English His- Geogra- Develop- Com- Setswan Agricul- Religious
Litera- tory phy ment Stud- merce a ture Education
ture ies
Maths Additional Double Biol- Chem- Physic Art Food & Fash- Statistics
Maths Science ogy istry s Nutrition ion&
Fabrics
Other(s):
………………………………………………………………………………………………………………
………….
10. Teaching Experience: Yes/No ………… If “yes” type of School:
………………………………………………
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Standard/Level taught: …………………… No. of Months/Years: ……………… TSM No:
…………………
9. Any
Other Work Experience:
………………………………………………………………………………………………
Number of Months/Years:
…………………………………………………………………………………………………
10. Wha
t work or Study are you currently doing:
………………………………………………………………………
Name of Employer/Institution:
……………………………………………………………………………………………
1. SUBJE
CT OPTION
CHOICES OF AREAS OF SPECILISATION.
❖ Math
ematics and Science
❖
English and Setswana
❖ Reli-
gious Education and Social Studies
❖ Prac
ticals: Choose one from part ‘a’ and one from part ‘b’
a. b. Home Eco-
nomics
Physical Edu- Art
cation Music
Which subject option would you like to specialize iny [Select from the above areas
of specialization].
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First Choice: ……………………………………………and
………………………………………………………
Second Choice:…………………………………………… and
……………………………………………………
Third Choice:……………………………………………… and
……………………………………………………
14. Hav
e you ever been convicted of any criminal ofencey Yes: No:
1. Do
you have any of the following: YES
NO
Social Disadvantage
Medical Problem
If “YES” Specify. (NB: Provide a supporting document if you are under Social Ser-
vices Department care):
………………………………………………………………………………………………………………………
………………………
………………………………………………………………………………………………………………………
…………………………
1. Do you have any disabilityy Yes No
If “YES” Specify
………………………………………………………………………………………………………………
………………………
………………………………………………………………………………………………………………
………………………
11. Per-
son to be contacted in case of emergency:
……………………………………………………………………
Relationship: ……………………………………… Tel/Cell No:
………………………………………………………
Address:
………………………………………………………………………………………………………………
………
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1. INFORMATION FOR PREVIOUS EDUCATION
Have you attended any Tertiary Institution beforey (Tick) Yes: No:
Name of Institution:
…………………………………………………………………………………………………………
Programme: ………………………… Duration of Programme: ……………… Date:
…………………
Did you complete the programmey (Tick) YES NO
If the answer above is No, how long did you attend the programme and why didn’t
you complete the programmey
Duration: ……………… Reason:
……………………………………………………………………………………
Have you ever been granted a student loan by Ministry of Educationy Yes:
No:
1. SPO
NSORSHIP INFORMATION
How are going to fnance your College tuitiony (Tick)
Government Sponsorship: Private Sponsorship:
1. FOR
INTERNATIONAL APPLICANTS ONLY:
Are you or your parents/guardian resident in Botswanay (Tick)
Yes: No:
If yes, please provide proof of resident status by attaching a copy of each of the fol-
lowing: Tax Certifcate, payslip and resident permit for your parents/guardian
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1. Dec-
laration by Applicant:
All the information given by me is true to the best of my knowledge. I am aware that
any false statement will nullify my application.
Name: …………………………………………………………… Signature:
…………………………………………
Date: ………………………………………
Note:
The following must accompany your application: at least 2 references, certiied copy of Omang or Passport
( international applicant only), certiied copy of residential permit (international applicant only), Social Ser-
vices Department leter (only for those assisted by Social Services Department), certiied copies of academic
and professional certiicates and any other relevant document.
