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MINISTRY OF EDUCATION AND SPORTS (www.education.go.ug.)

1. This form is intended for applicants wishing to pursue a National Diploma under the TVET
system.

2. This form together with the list of courses offered at the different TVET Diploma awarding
institutions can be obtained from the websites of the Ministry of Education and Sports
(www.education.go.ug), and TVET Operations and Management (tvet.go.ug), office of the
District/Municipality/City Education Officer, Government TVET Diploma Awarding
Institutions, and at the Ministry of Education and Sports Headquarter-(Department of TVET
Operations and Management, Legacy Towers Wing B, Floor 3).

3. This form MUST be completed in duplicate and returned to any of the nearest Government
TVET Diploma Awarding Institution or nearest Regional Selection Center i.e.-(Nakawa
Vocational Training College for Central Region, UTC - Elgon for Eastern Region, UTC - Lira
for Northern Region, UCC Pakwach for West Nile Region, UTC – Bushenyi for Western Region
and UCC Kabale for Southern Region, or TVET Operations and Management Office or Online
via lazakeh.galabuzi@eductaion.go.ug not later than Friday 31st May, 2024

4. MUST Attach;

a. Photocopies of certificates/result slips/transcripts and certified degree certificates for degree

b. A copy of a National Identity Card (for 18 years and above) or an Identification from the
previous institutions (for below 18 years)

c. A Copy(ies) of appointment/ contract/recommendation of relevant work experience (if any)

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 d. A Copy of the Birth Certificate

Note:

i. Applicants wishing to pursue National Diploma (ND) will be subjected to physical interviews
from the 10th to 14t June 2024 at the above-mentioned regional selection centers to
ascertain their readiness to undertake skills training at a higher level.

ii. Persons with disabilities and those from vulnerable categories such as females, urban poor.

SECTION B: PARTICULARS OF APPLICANT (To be completed in CAPITAL letters)

1. Names

Surname Name Other Names

2. Other Personal Information

Nationality Date of Birth Male/Female NIN

3. Home Address

Home District Parish (LC II)

County Village (LC I)

Sub-county (LC III) Religious Affiliation

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4. Contacts

Telephone No(s) Email Address (MUST be provided)

5. Information on Disability (where applicable):

Disabled Applicants should attach photographs showing level of disability or medical report from
hospital as evidence of being disabled.

Disabled (Tick) Yes / No

Nature of disability (Tick) Deaf/ Blind, /Physical disability, /Albinism, /Asthma, /Sickle cell/
Others (Specify for others)

Level of disability (Tick) Mild / Severe / Very Severe

6. Parents / Guardian Details:

Father / Guardian Mother /Guardian

Names

Nationality

NIN

Telephone Contacts

SECTION C: EDUCATIONAL BACKGROUND (To be completed by Applicant where

1. PLE Results

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 Name of School Year of sitting Index Number Total Aggregates Division

Fill in the details

Subject Maths English SST Science Aggregate

Grade

Summary of the Grades:

DISTINCTIONS CREDITS PASSES

2. O’ Level: UCE results OR its Equivalent

Fill in the details

Subject

Grade

Summary of the Grades:

DISTINCTIONS CREDITS PASSES

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 3. Technical School/Community Polytechnics: UJTC/UCPC results

Name of Institution Year of sitting Index Number Course Name Grade

Fill in the details

Course Name

Grade/ scores

Summary of the Grades:

DISTINCTIONS CREDITS PASSES

4. Technical/Vocational Institutes: National Certificate/Advanced Craft Certificate

Name of Institution Year of sitting Index Number Course Name Final Grade

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Fill in the details

Course Name

Grade/ scores

Summary of the Grades:

DISTINCTIONS CREDITS PASSES

5. A-Level: UACE Results OR its Equivalent

Name of School Year of sitting Index Number Combination Total Points

Fill in the details

Subjects

Grade

Summary of the Grades:

As Bs Cs Ds Es Os

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 6. Any other Qualification(s) - Attach Result Slips, Certificates or Awards.

Name of School Year of Registration Course Name Class Grade

SECTION D: RELEVANT WORK RECORD (IF ANY) - (Attach copies of Appointment OR

S/N Organization/Employer/ Self Post Held Period

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SECTION E: CHOICE OF COURSES (select from the attached list) - Ensure that courses
chosen are offered at the chosen TVET Institutions.

1st Choice 2nd Choice 3rd Choice

b) Briefly explain the reason for choosing the Course(s) you have selected.
…………………………………………………………………………………………………………

…………………………………………………………………………………………………………

SECTION F: CHOICE OF TVET INSTITUTIONS (select from the attached list)

1st Choice 2nd Choice 3rd Choice

SECTION G: DECLARATION

I _____________________________________________ declare that to the best of my knowledge,

the information provided above is correct.

Signature: ……………………………….… Date: …………………………………….

Note: Falsification of information can lead to cancellation of the offer and prosecution in the
courts of law.

You can send after filling on utc.elgon@gmail.com

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SECTION H: FOR OFFICIAL USE ONLY

The committee has vetted and recommended that the applicant:

i. Be admitted on: - Government Private

Course…………………………………………………………………………………………

Institution ………………………………………………………………………......................

ii. Not be admitted; reasons…………………………………………………………………….…

…………………………………………………………………………………………………………

_________________________________ _____________________________

Head of Selection Team Signature and Date

Other Remarks:
………………………………………………………………………………………………………..

…………………………………………………………………………………………………………
…………………………………………………………………………………………………………

________________________________ _____________________________

Centre Supervisor Signature and Date