Wa0024
Wa0024
Check list
1. Duly filled application form
2. Copy of the relevant certificate
3. Bank slip for the payment
Indicate 03 preferred Degree programmes using numbers 1, 2 & 3 as per the order of preference.
Bachelor of Education in English Language Teaching
Bachelor of Education in Technology
Bachelor of Hotel Management
Bachelor of Technology in Building Services Technology
Bachelor of Technology in Construction Technology & Resource Management
Bachelor of Technology in Film & Television Production Technology
Bachelor of Technology in Food Process Technology
Bachelor of Technology in Industrial Management Technology
Bachelor of Technology in Manufacturing Technology
Bachelor of Technology in Mechatronics Technology
Bachelor of Technology in Media Arts Production Technology
Bachelor of Technology in Multimedia & Web Technology
Bachelor of Technology in Network Technology
Bachelor of Technology in Software Technology
Bachelor of Technology in Quantity Surveying
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Category - 2 For Students qualified at the A/L in 2018 (only for weekday programmes)
Personal Details
2. Name with Initials
Full Name
3. Address
Permanent Address:
Contact Address:
District:
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5. Contact No:
Fixed
Mobile
6. E-mail:
8. Date of Birth: D D M M Y Y Y Y
If you are an NVQ or equivalent Diploma holder (Attach a copy of the relevant Diploma (Only 01) /
equivalency certificate or if you are waiting for Competency Based Assessment, attach an
authorized cerlificate issued by the relevant Head of the Institution indicating your eligibility.)
b). NVQ level of the Diploma (Specify in the box whether NVQ level 5 or 6): NVQ Level
c). If you are a Non NVQ Diploma holder,tick the appropriate box
Any other Diploma equivalent to NVQ Level 5 or 6 ,please specify the Diploma and the Institute.
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B. Category -2 (This section is to be completed by the Category-2 applicants only.)
If you are a G.C.E (A/L) -2018 candidate (Attach a copy of the certified A/L results sheet)
13. Industry / Teaching experience (Only for NVQ or equivalent Diploma holders)
Institution From To Years Months
1. ……………………………………………………………………
2. ……………………………………………………………………
3. ……………………………………………………………………
14. If you have any special achievements or claims (International or national awards, inventions, innovations,
Patents) with, related to the degree you applied, please specify those in the space below and submit
valid documentary evidence for consideration of such claims.
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(IV) Designation
I certify that the above information is true and accurate according to my knowledge.
I am ready to accept any consequence occurs, upon revelation that the information provided by me in this
application is not true and accurate.
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