Online Application Form – Gemstone Processing and Lapidary Training Centre

Applicants Details

Upload PASSPORT SIZED Photo *

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Upload formal photo.

Prefix

First Name *

Middle Name

Last Name *

Religion *

National I.D Number (N.R.C / Passport) *

Gender *MaleFemale

Date *

Day

Month

Year

Enter date of birth (D.O.B)

Place of Birth *

Phone *

Email Address *

Street Address *

House, Plot, Apartment, Flat number, etc *

City/ District *

State/Province *

Country

Postal/ Mailing Address *

High School Details

Name of High School Attended *

Year in which you joined school named above *

Year completed high school *

Upload a Certified Copy of Grade 12 results ( High School Results) *

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Course Details

Indicate whether Online (Open Distance Learning) or On Campus Learning *Online – Open Distance Learning ODLOn Campus LearningSelect Online (Open Distance Learning) or On Campus Learning

Upload Certified (Notarized) copies of National I.D (N.R.C), Medical Report, and Reference letter *

Upload Certified (Notarized) copies of National I.D (N.R.C), Medical Report, and Reference letter

Sponsorship

Select intended sponsorship type *Self SponsoredGRZ BursaryCDFSelect intended sponsorship type

Guardians / Next of Kins details

Prefix

Guardians/ Next of kin's First Name *

Middle Name

Guardians/ Next of kin's Last Name *

Gaurdians/ Next of kin's phone number *

Guardians/ next of kin's Email Address *

Guardians/ Nextof Kin's Marital Status *MarriedSingle

Street Address *

House Address, Apartment, Flat, Plot number

City/ District

State/ Province

Country

Nationality *Select nationality

Guardians Village (As per N.R.C)

Upload copy of Guardians N.R.C

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Applicants Employment Details

Applicants Occupation

Name of Applicants Employer

Position at place of work

Employers Phone Number

Employers Email Address