Tertiary and vocational education commission (tvec) application for the registration of nvq assessors- level 4

01. Name with initials : -----------------------------------------------------------------------------------------

Official : -----------------------------------------------------------------------------------------

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05. Contact Telephone Numbers : Official: Home: Mobile:

E mail:

07. Date of birth : Date Month Year

08. Educational Qualifications (Please begin with the highest qualification. Attach photocopies of certificates)

Qualification/s	Subjects/Field	Year obtained

09. Professional/Vocational /Technical Qualifications (Please begin with the highest qualification. Attach photocopies of certificates)

Qualification/s	Subjects/Field	Year obtained

10. Industrial and Training Experience: (Attach photocopies of service certificates)

(i). Industrial Experience

Name of the establishment	Designation	Details of the work performed / Responsibilities	Duration (No. of years)

(ii). Training / Teaching Experience: (Attach photocopies of service certificates)

Name of the establishment	Designation	Details of the Training delivered / Responsibilities	Duration (No. of years)

1. Occupations in which you are qualified and competent to undertake assessment in order of your preference

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12. I am prepared to undertake assessments in any province: Yes No

13. If not, please indicate provinces of your preference:
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I hereby certify that the particulars mentioned above are true and correct to the best of my knowledge. Also I am aware that if any information provided is found incorrect, the Tertiary and Vocational Education Commission has the right to cancel my Registration.

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  The registration fee for the Candidate is Rs. 250/= (you can directly pay to TVEC or can make payment to the TVEC Account at Peoples Bank, 078-1-001-7-2266044).
  
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  Send your Application to Director (Quality Assurance and Assessment Regulation, Tertiary and Vocational Education Commission, Nipunatha Piyasa, 354/2, Elvitigala Mawatha, Colombo 05.
  

Bank / TVEC receipt No. and date :

Signature of the certifying officer :

Date of the verification of certificates : --------------------------------------------------------------------------------
Date of sending details to NITESL / Univotec to call : --------------------------------------------------------------------------------

for the training

Registered as an Assessor : Yes No

[Registration Number :

Certified by Authorized Officer, TVEC :