Professional Documents
Culture Documents
APPLICATION FORM
DEPARTMENT OF NATIONAL INTERNSHIP PROGRAMME
1. PERSONAL DETAILS
DIVORCED WIDOWED
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2. COMMUNICATION
3. NEXT OF KIN
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TELEPHONE/MOBILE ……………………………………………………………………………………………………………………………………………
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4. EDUCATIONAL ACHIEVEMENTS:
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FROM TO
PERIOD
NAME OF EXAMINATION CORE/ MAJOR COURSES
MONTH YEAR
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5. INTEREST
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REASONS………………………………………………………………………………………………………………………………………………………………
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7. KEY COMPETENCIES
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8. REFEREES
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9. REQUIREMENTS
I do declare or affirm that the information contained is true and correct to the best of my
knowledge and belief. I am aware that the Department reserves the right to reject my
application or terminate enrollment should the information contained above be found to be
incorrect or not true. I am also aware that the Department reserves the right to place me where
it deems necessary, and subject to availability of places.
SIGNATURE ………………………………………………………….DATE…………………………………………………….
ORGANISATION/COMPANY……………………………………………………………………………………………………………………………………………………..
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