Secondary School Substitute Teacher Registration Form

SECTION 1: PERSONAL DETAILS

PLEASE ENTER YOUR FULL NAME:

Prefix

First Name *

Middle Name

Last Name *

PLEASE ENTER YOUR COMPLETE ADDRESS:

House/LP Number:

Street Address: *

City/Town: *

PLEASE ENTER YOUR CONTACT INFORMATION:

Primary Contact Number: *

Primary Email Address: *

PLEASE PROVIDE AN EMERGENCY CONTACT:

First Name *

Last Name *

Relation:

Primary Contact Number: *

Primary Email Address: *

PLEASE ENTER YOUR DATE OF BIRTH AND OTHER RELEVANT INFORMATION:

Date of Birth *

Place of Birth:

Nationality:

Passport Sized Photo: *

No file chosen

Must have a solid background and be in JPG or JPEG format and cannot exceed 100MB.

Birth Certificate: *

No file chosen

Must be in PDF Format and cannot exceed 100MB

SECTION 2: ADDITIONAL INFORMATION

Teacher Registration Number: *

NIS Number: *

BIR Number: *

Assessment: *

Subject Area: *

Choose File: *

No file chosen

Must be in PDF Format and cannot exceed 100MB

Letter of Acknowledgement of Teaching Application: *

No file chosen

Must be in PDF Format and cannot exceed 100MB

Certificate of Good Character: *

No file chosen

Must be in PDF Format and cannot exceed 100MB

SECTION 3: QUALIFICATIONS

ACADEMIC QUALIFICATIONS:Please upload the relevant certificate for each academic qualification

School / Institution Attended: *

Qualification / Certification Recieved: *

Year Obtained:

Certificate / Degree: *

No file chosen

Must be in PDF Format and cannot exceed 100MB

WORK EXPERIENCE:

Employer Name: *

Employer Address: *

Position Held: *

Have you ever been refused permission to register as a Teacher or have had your name removed from the Teacher's Register? *YESNO

SECTION 4: RECOMMENDATIONS

PLEASE ENTER THE DETAILS OF YOUR RECOMMENDER'S

RECOMMENDATION:

First Name *

Last Name *

Current School: *

Post / Position Held: *

Teacher Registration Number: *

Recommendation Letter: *

No file chosen

Must be in PDF Format and cannot exceed 100MB

SECTION 5: ADDITIONAL UPLOADS

Marriage Certificate:

No file chosen

For married women only. Must be in PDF Format and cannot exceed 100MB

Affidavit:

No file chosen

Only if applicable. Must be in PDF Format and cannot exceed 100MB

Deed Poll:

No file chosen

Only if applicable. Must be in PDF Format and cannot exceed 100MB

SECTION 1: PERSONAL DETAILS

SECTION 2: ADDITIONAL INFORMATION

SECTION 3: QUALIFICATIONS

SECTION 4: RECOMMENDATIONS

SECTION 5: ADDITIONAL UPLOADS

SECTION 6: DECLARATION