GUYANA TEACHERS’ UNION

MOTTO: “WE MOULD THE NATION”

Application for Bursary Award – CXC-CAPE/GCE “A” Levels 2024.

1. Name Of Candidate:
………………………………………………………………………………
Last Name First Name
2. Name of Institution at which candidate wrote the Examination.
…………………………………………………………………………………………Institution.

3. Candidate’s Address during the Period of Examination

………………………………………………………………………………………………………

4. Name of GTU Financial Member (applicant)

………………………………………………………
Last Name First Name
5. (a) Branch to which applicant is attached …………………………………………………….

(b) If on secondment state present School and Branch………………………………

(c ) Applicant telephone No……………………………

6. Institution to which applicant is attached …………………………………………

REG. #............. TEL NO………………………………

7. Applicant’s address: ……………………………………………………………………

8. Candidate’s Results at Examination

N0. SUBJECT GRADE N0. SUBJECT GRADE

1 8

2 9

3 10

4 11

5 12

6 13
7 14
9. Date on which application was forwarded to General Secretary: …………/……../2024

10. Relationship between applicant and candidate: ……………………………………….

………………………….. …………/………/2024
Signature Date

Statement of Head of Institution & Branch Secretary

I hereby certify that the applicant is a Teacher/Lecturer/Instructor/Technician at the

………………………. and that the information provided is true and correct to the best of my knowledge

….…………………………… ……………………………………
Signature of Head of Institution Signature of Branch Secretary

Date: ………./………/2024 Date: …………/…………./2024

School Stamp: Branch Stamp:

FOR OFFICIAL USE ONLY

1. Date received …………../……………/2024

2. Supporting documents provided:

Birth Certificate - Yes/No

Result Slip - Yes/No

Distinction Points……….. 5
Grade 1 – A: Points ……… 4
Grade 11 – B: Points ………. 3
Grade 111 – C: Points ……….. 2
Grade 1V – D: Points ……….. 1

Dist. GR.1 GR 2 GR 3 GR 4

Total Points Obtained by Candidate: ………………………………..

 AWARD GRANTED: Yes No

If no, the reason for the not granting of the award:

…………………………………………………………………………………………………….

…………………………………………………………………………………………………….

SIGNATURE OF MEMBERS OF COMMITTEE

1. ……………………………….. Date: ……………/……………./2024

2. ……………………………….. Date: ……………/……………./2024

3. ……………………………….. Date: ……………/……………./2024

N.B. Forms must be properly completed and accompanied by a copy of the result slip and birth

certificate of the child for whom the application is being made. Only students who
have obtained Grades 1 to 1V or A to D (in the case of G.C.E. ‘A-Level Examination)
shall be considered for an award.
A copy of the applicant's pay slip must be attached to the document to verify
membership
Application forms must reach the General Secretary, GTU, Woolford Avenue, Georgetown,
no later than Friday 31st, October 2024.
 GUYANA TEACHERS’ UNION
MOTTO: “WE MOULD THE NATION”

Application for Bursary Award – NATIONAL GRADE SIX (6) ASSESSMENT 2024

1. Name Of Candidate:
………………………………………………………………………………
Last Name First Name

2. Examination No: ……………………………………………………………………………

3. Name of School at which the candidate wrote the Examination.

…………………………………………………………………………………………….

4. Candidate’s Address during the Period of Examination

………………………………………………………………………………………………………

5. Name of GTU Financial Member (applicant)

………………………………………………………
Last Name First Name

6. (a) Branch to which applicant is attached ……………………………………………….….

(b) If on secondment, state present School and Branch…………………………………….

(c) applicant Telephone No………………………….

7. School or Institution to which the applicant was attached at the time the candidate wrote the

examination …………………………………………………………

REG.#............... TEL NO………………………………

8. Applicant’s Address:
………………………………………………………………………………
9. Date on which application was forwarded to General Secretary ………………………………

10. Relationship between applicant and candidate…………………Telephone #……………………..

11. Candidate’s Score ……………………………….

12. N.B. Forms must be properly completed and accompanied by a copy of the result slip and birth

certificate of the child for whom the application is being made. Only students who have
obtained the highest scores shall be considered. A copy of the applicant's pay slip must be
attached to the document to verify membership
………………………………….. ……………………2024
Signature Date

STATEMENT OF HEAD OF INSTITUTION & BRANCH SECRETARY

I hereby certify that the applicant is a Teacher/Lecturer/Instructor/Technician at the

………………………….…………………………………………….and the information provided is true
and correct to the best of my knowledge.

……………………………………
……………………………………..
Signature of Head of Institution Signature of Branch Secretary

Date: ………./………/2024 Date: …………………….2024

School Stamp: Branch Stamp:

FOR OFFICIAL USE ONLY

1. Date received: …………../……………/2024

2. Supporting documents provided:

Birth Certificate - Yes No

Result Slip - Yes No

Score Obtained by Candidate: ………………………………..

 AWARD GRANTED: Yes No

If no, the reason for not granting of the award:

…………………………………………………………………………………………………….

…………………………………………………………………………………………………….

SIGNATURE OF MEMBERS OF COMMITTEE

1. ……………………………….. Date: ………………………….2024

2. ……………………………….. Date: …………………………..2024

3. ……………………………….. Date: …………………………..2024

Applications must reach the General Secretary, Woolford Avenue, Georgetown, not later than

Friday,31st October, 2024.

 GUYANA TEACHERS’ UNION
MOTTO: “WE MOULD THE NATION”

APPLICATION FOR BURSARY AWARD – TECHNICAL 2024.

1. Name Of Candidate:
………………………………………………………………………………
Last Name First Name Others
2. Name of Institution at which the candidate wrote the Examination.

…………………………………………………………………………………………Institution.
3. Candidate’s Address during the Period of Examination
………………………………………………………………………………………………………

4. Name of GTU Financial Member (applicant)

………………………………………………………
Last Name First Name

5. (a) Branch to which applicant is attached………………………………………………………...

(b) If on secondment state present School and Branch…………………………………………...

6. Institution to which applicant is attached …………………………………………………………..

7. (a) Applicant’s Address:………………………………………………………...

(b) Tele # Home:………………….Cell:…………………………..School:…………………

8. Candidate’s Results at Examination

N0. SUBJECT GRADE N0. SUBJECT GRADE

1 8

2 9
3 10

4 11

5 12
6 13

7 14

9. Date on which application was forwarded to General Secretary: ………………………………

10. Relationship between applicant and candidate: ……………………………………….

………………………….. ………………………..
Signature Date

Statement of Head of Institution & Branch Secretary

I hereby certify that the applicant is a Teacher/Lecturer at the …………………………………………….

and that the information provided is true and correct to the best of my knowledge

….…………………………… ……………………………………
Signature of Head of Institution Signature of Branch Secretary

Date: ……….……… Date: …………………….

School Stamp: Branch Stamp:

FOR OFFICIAL USE ONLY

1. Date received: …………..…………………………………..

2. Supporting documents provided:

Birth Certificate - Yes No No

Result Slip - Yes No

Grade 1 - A = Points ……..

Grade 11 - B = Points ………

Grade 111 - C = Points ………

Grade 1V - D = Points ………

Total Points Obtained by Candidate: ………………………………..

 AWARD GRANTED: Yes No

If no, the reason for the non granting of the award:

…………………………………………………………………………………………………….

…………………………………………………………………………………………………….

SIGNATURE OF MEMBERS OF COMMITTEE

1. ……………………………….. Date: …………………………

2. ……………………………….. Date: ………………………….

3. ……………………………….. Date: ………………………….

N.B. Forms must be properly completed and accompanied by a copy of the result slip and birth

certificate of the child for whom the application is being made. Only students who
have obtained Grades 1 to 1V or A to D shall be considered for an award.
A copy of the applicant's pay slip must be attached to the document to verify
membership

Applications must reach the General Secretary, GTU, Woolford Avenue, Georgetown, no
later than Friday, 31st October 2024.