Data Collection Tool - BED - PRIMARY

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MUNI UNIVERSITY

OFFICE OF THE ACADEMIC REGISTRAR


ADMISSIONS – 2020/2021 ACADEMIC YEAR
BACHELOR OF EDUCATION – PRIMARY APPLICANTS’ INFORMATION
1. BIO DATA
Name: ………………………………………………................... Nationality: ……………………………..
Sex: ………………………………………………………………… District of Origin: ………………………………
E-Mail: ………………………………………………………………… District of Birth: ……………………………..
Mobile Phone: ……………………………………………………………….. National ID No: ………………………………
Religion: ………………………………………………………………..
2. NEXT OF KIN
Name: ……………………………………………………………… E-Mail: …………………………………………
Relationship: …………………………………………………………….. Mobile No: …………………………………………
Address: ……………………………………………………………..
3. COURSE CHOICES
SNO COURSE/PROGRAM SNO SUBJECT COMBINATION Tick
1. English Language / Music
2. English Language /Religious Education
Bachelor of Education Primary 3. English Language/Social Studies
1. Arts (BED(P_ARTS) 4. Music /Social Studies
5. Religious Education/Music
6. Social Studies/ Religious Education
1. Agriculture/Integrated Science
2. Integrated Science /Physical Education
Bachelor of Education Primary
2. 3. Mathematics/Agriculture
Science: (BED(P_SCI)
4. Mathematics/Integrated Science
5. Mathematics /Physical Education
6. Physical Education /Agriculture
4. EDUCATIONAL BACKGROUND
i. UCE LEVEL:
Index No: …………………………………………………… Year of Sitting: ……………………………..
Name of School: ……………………………………………………………………………………………………………………..
Subject ENG MATH BIO CHE PHY AGR HIS RE
Grade
ii. UACE LEVEL
Index No: …………………………………………………………… Year of Sitting: ……………………………..
Name of School: …………………………………………………………………………………………………………….......
Subject
Grade
iii. GRADE III TEACHER EDUCATION
Index No: …………………………………………………………… Year of Sitting: ……………………………..
Name of School: …………………………………………………………………………………………………………….......
Subject LANG MATH SCIENCE SST PES Art & Craft Music R.E P. E.
Grade
iv. DIPLOMA EDUCATION PRIMARY:
Registration No: …………………………………………………………… Year of Completion: …………………
Name of Institution: …………………………………………………………………………………………………………….......
Subject
Grade

Diploma Class: ………………………………………………………………………………………………………………………

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