2023 TVET Regestration Format - Copy-1

AYER TENA HEALTH SICENCE AND BUSINESS COLLEGE
OFFICE OF THE REGISTRAR

STUDENT ADMISSION FORM FOR TVET PROGRAM 2023 ENTERY
INSTRUCTIONS
The applicant should fill this application form in duplicate.
1. Write legibly and complete the form correctly and accurately
2. When the answer should be indicated in a box, put ‘’ in the box of your appropriate choice.
3. A completed application form must be returned to the Registrar Office on/before the date
specified on the Academic Calendar.
This application form should be accompanied by:
 The original and one photocopy of the Ethiopian School Leaving Certificate or its equivalent
 The original and one copies of High school Transcript.
 Original and one photocopies of any other official documents which you think will be of help
towards you admission.
 Original and one photocopies of Ministry Card/ 4 (3x4) size photo
Registration Requirements:To registered in TVET program candidates should be
 Grade 12 completed and qualified for the program, as of national cut point
 Diploma, holder Level IV completed with COC any other field
PAYMENT REQUIREMENTS
 The students should expect to pay 200 birr for registration every semester
 100 birr for ID card
TERM OF PAYMENT
TVET PROGRAM: HEALTH FACULTY’S PAYMENT INFORMATION

Tuition fee will pay
 Theoretical courses 205 birr per credit hour
 Practical work 210 birr per credit hour
 Lab request course 250 birr per credit
BUSINESS FACULTY PAYMENT INFORMATION
Tuition fee will pay per credit hour base
 Theoretical courses 180 birr per credit hour
 Practical work 190 birr per credit hour
 Lab request course 250 birr per credit
NB:-The payment per credit hours will revise every semester, or every year, if necessary
Classification of admission
a. Admission Type:
Regular Extension -1 Extension-2
b. Enrollment Type:TVET Level IV program
PERSONAL INFORMATION
Full Name (In English) Name Father G. father
(In Amharic):
Sex Male Female
Date of Birth (in Eth.Cal): Day____ Month ______ Year_______
(in G.C)Day____ Month ______ Year___________Nationality _______
Place of Birth: ___________________ ____________________
Country Region Zone Town Kebele [Woreda]
You’re current Address: city __________________ Sub city __________Kebele________
. Home Tel. Mobile No.
Person to be conducted in case of emergency:
Full Name: _____________________________Relationship _______________________
Address: Region Sub-city Woreda Village
House No. Home Tel Mobile No. Office Tel. P.O.Box
Your Father’s Full Name: ___________________________________ Tel. No. _________
Your mother’s Full Name: ___________________________________ Tel. No. _________
Educational Background
Senior secondary/preparatory school attended (Grade 11 & 12)& (Grade 9 & 10)
Name of school Town Zone Region
Examination Records
Select the exam category that is applicable to you and fill the results you scored.
ESLCE/EGSEC/Mark scored
Choose any seven courses for which you scored
High grade (including Maths and English)
Subject Grade Exam year
1) English __________________ __________________
2) Mathematics __________________ __________________
3) ___________ __________________ __________________
4) ___________ __________________ __________________
5) ___________ __________________ __________________
6) ___________ __________________ __________________
7) ___________ __________________ __________________
Average Result ___________________
The field you are enrolled to study
Comprehensive Nurse Accounting and Budget Service
Midwifery Customer Contact & Secretarial Operations
Pharmacy Technology Marketing
Medical Laboratory Service
Hardware and Network Servicing
Statement by applicant
I here by certify that all information given in this application form is complete, correct and accurate.
I fully realized that the college is entitled to take any action on me, including dismissal if the
information given by me here is found to be incorrect or misleading at any time. I also realized that I
will not be entitled to any reimbursement of whatever fee I might have paid in case when the college
takes any action on me as a result of any incorrect or misleading information given by me. I shall
also take full responsibility, for reading and abiding by the rules and regulations of the college
student Handbook deposited in the college Library system.
Student Name ____________________________ Date _____________Signature ______________
Office use only: I conformed all document attached here are legal and according to the
requirement.
Registered by:__________________Signature:______________________Date: ____________

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AYER TENA HEALTH SICENCE AND BUSINESS COLLEGE

OFFICE OF THE REGISTRAR

TVET PROGRAM: HEALTH FACULTY’S PAYMENT INFORMATION

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