Be Completed by All Applicants in Triplicate) : Ts. Form
Be Completed by All Applicants in Triplicate) : Ts. Form
Be Completed by All Applicants in Triplicate) : Ts. Form
Reference No
TEACHING SERVICE
PART I
D I fully understand -
* A female employee who marries during the course of her service and is re engaged will
of course take her married name on re- engagement.
PART II
I have examined…………………………………………………………………………….
And found her/him fit/ unfit for future employment as a ………………………………..
………………………………………………………………………………………………
………………………………………………………………………………………………
………………………………………………………………………………………………
………………………………………………………………………………………………
……………………………………………………………………………………………
Date…………… ……………………………………
Signature of Medical Officer
* In the case of an applicant who is not completing a course of teacher training , this
certificate must be completed before approval for the appointment of the applicant is
sought. In case of the applicant who is attending a teacher training College, this
certificate must be completed not earlier than six months and not later than one
month before the applicant is due to complete the course of training.
PART III
( To be completed by prospective employees )
Date………………. Signature………………………………………….
Agency…………………………………………
PART IV
Date………….. ……………………………………….
Permanent Secretary
Ministry of Education
*Delete as appropriate.
PART V
Date……………………….. ……………………………...
Signature of Student.
PART VI
I have checked the entries on this form with the student and I certify that to the best
of my knowledge they are correct.
Date…………. ……………………………………..
Signature of Principal