UNIVERSITEIT VAN PRETORIA - UP



UNIVERSITY OF PRETORIA

FACULTY OF EDUCATION

SELECTION FORM 2015: PGCHE 09227050

Postgraduate Certificate in Higher Education

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|Please note that this programme is intended for those who wish to teach/train in any post-school environment (training unit, college, university, etc.). |

|For those who wish to teach at primary or secondary school level, please apply for the Postgraduate Certificate in Education (PGCE). |

|UP | | |

|student| | |

|No: | | |

| |(Title, names and surname) |

|2. |Postal address: | |3. |Work address: | |

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| |Postal code: | | |Postal code: | |

|4. |Tel. (home): | | (work): | |

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| |Cell phone: | |Fax: | |

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| |E mail: | |

5. Qualifications (Attach certified copies of certificates and academic records):

|Degree/Diploma |Year obtained |Institution/University |

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6. Description of your teaching/training context:

Give a brief description of the context in which you are currently teaching/training or intend to teach/train in the future.

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7. Were you a registered student at the University of Pretoria in 2014?

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|Yes |No |

If No, you had to submit a UP application. Please indicate the process:

|UP application form attached. |Online application completed on: |Application submitted to the CSC |Application submitted to Groenkloof CSC/Student Admin |

| | |Hatfield on: | |

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| |Date: | |Date: |

| | |Date: | |

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|Student’s signature: | | |Date: |

For office use:

|Signed & date: | |Selected: |YES |NO |

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