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COSDEC Application Form 2023 Swakopmund

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0% found this document useful (0 votes)
435 views

COSDEC Application Form 2023 Swakopmund

Uploaded by

vanwykchristaj
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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COSDEC APPLICATION FORM FOR TVET PROGRAMS

JANUARY 2024

Instructions to Applicant
1. Complete the form in BLOCK LETTERS, with black ink. Attach a recent
2. A Non-refundable application fee of N$ 60.00 is payable upon submission of this application form. passport photo
3. This application must be accompanied by certified copies of birth certificate/identity card, relevant
here
academic certificates/latest school results and proof of payment.
4. Short courses are not listed on this application form. Contact the COSDEC Offices for more
information.
5. The closing date for submitting this application form is on or before 31 January 2024.
6. Late applications will be accepted until 10 February 2024, a fee of N$150 will apply.
7. Completing this application form does not mean automatic enrollment.

APPLICATION DETAILS

Surname: First Name:

ID Number/Date of Birth: Region:

Residential Address: Constituency:


Gender: Male Female

Postal Address: Town: Contact/Cell Number:

Nationality: Email Address:


Marital Status: Single Married

HEALTH PARTICULARS

Do you have any Disability Yes No

If yes, please describe the nature of your disability:

Based on your disability, do you have any special need / s? (Please specify)

Do you suffer from any chronic disease/s? Yes No

Please specify:
NEXT OF KIN

Name: Relationship:

Residential Address: Cell/Tel No:

Email Address: Town / Village:

PARENT STATUS

Both Alive Both Deceased Unknown

Father Deceased Mother Deceased

CHOICE OF STUDY: Choose in order of preference and mark with an X your 1st and 2nd choice qualification you are applying for.

1st Choice 2nd Choice Level 2 Level 3


Qualification
Level 1 Only Level 1 Only
Civil and Building Services Engineering (Bricklaying &
Plastering)
Metal Fabrication (Welding)

Manufacturing Joinery & Cabinet-making)


Civil and Building Services Engineering (Plumbing)

Clothing Production

Business Services (Office Administration)


Hospitality and Tourism
(Accommodation Services and Food & Beverage Services)
Hospitality and Tourism (Core Commercial Cookery Skills)

LANGUAGE PROFICIENCY

Your Home Language


Other Languages Speak (Good/average/poor) Read (Good/average/poor) Write (Good/average/poor)
English
EDUCATION AND TRAINING

Highest school grade completed:


Name of School:
Year of completion:

Post-School Training:
Competencies/Qualifications Training provider: Time and duration:
What kind of training: obtained:

EMPLOYMENT STATUS

Employer: Employer Address:


Phone: Email Address:

Position Held: Duration:

FUTURE PLANS

What do you want to do after completing the course? (Mark the box with an X)

Find a job Start my own business Continue with further studies

PERSON RESPONSIBLE FOR PAYMENTS

Surname: First Name:

ID Number/Date of Birth: Contact/Cell Number:

Residential Address: Email Address:

Postal Address: Town:


N$60.00 NON-REFUNDABLE APPLICATION FEE CAN BE PAID INTO BELOW BANK ACCOUNT OR IN
CASH AT THE CENTRE:
Bank Name: Bank Windhoek
Account Name: Mahetago COSDEC
Account Number: 8001401099
Branch Code: 481 772
Branch Name: Swakopmund
Reference: Full Names of Applicant (Student Name)

I _________________________________________________ hereby acknowledge that I have read the above conditions


and accept it. I hereby confirm that all the information provided is correct to my knowledge, and that all the attached
supporting documents are authentic. Any false information will lead to my application being disqualified. I undertake to
abide by the rules as laid by the Centre and understand disciplinary action may be taken if I don’t comply with the
Centre rules and policies. I agree that I’m solely responsible for the course fees and class attendance.

This form is legally binding the trainee to adhere to the policies and regulations of COSDEF and to pay all course
fees in full once registration has taken place.

Signature of Applicant _________________________ Date ______________________

FOR OFFICE USE ONLY

Received by: ____________________

Signature: ____________________ Date: ________________________

Payment: Cash Bank Deposit

Receipt Number:

Provisional Admitted: Yes No Waiting list: Yes No

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