MINISTRY OF BASIC EDUCATION - Gov - ministry of education botswana website

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To be submitted in triplicate Form PVTS I
REPUBLIC OF BOTSWANA
by the Applicant* File Ref.................................
MINISTRY OF BASIC EDUCATION
Application under section 24 of the Education Act from the Ministry of Basic Education for the employment of a person to
teach at a Private School.
__________________________________________________________________________________________
Date of application.....................................................................................................................................................
Level of application: Early Childhood Education Primary Secondary (Tick applicable)
Names of applicate: Surname:......................................................................................................
Name(s): ......................................................................................................
Place of Birth: .............................................................. Date of Birth......................................................................
Nationality: ................................................................................................................................................................
Home Address: ..........................................................................................................................................................
Present Address: ........................................................................................................................................................
Contact Details: Mobile ................................. Email ..............................................................
Passport No. (Non Botswana only): .............................. Date of Issue: .................................................................
Date of Expiry: ................................................... Place of Issue: ..............................................................................
Omang Number (Citizens) ........................ Date of Expiry .........................................................
N.B. The following is important and must be completed by all Non Batswana.
Date of Entry into Botswana......................................................................................................................................
Place of Entry.............................................................................................................................................................
Religion: ..................................................... Marital Status: ............................. Sex: ............................................
EDUCATIONAL RECORD (Schools Attended)
Dates
From To Name of School School's Address Name and Grade of
Certificates obtained
UNIVERSITY AND PROFESSIONAL TRAINING
Dates Degree,
From To University or Course Diploma Date
Month Year Month Year Institution taken or Qual. obtained
obtained
TEACHING EMPLOYMENT RECORD
Dates
From To
Month Year Month Year Employer School Position Held Reasons for
leaving
HEALTH
(i) Do you suffer from any bodily injury or defect? Yes/No. If answer is yes, give particulars:
............................................................................................................................. .......................................................
(ii) Have you suffered from any serious illness? Yes/No. If answer is yes, give particulars:
............................................................................................................................. ...........
CHARACTER
Have you ever been convicted of a criminal offence in Botswana or elsewhere? Yes/No. If answer is yes give full particulars
below:
Description and place of Sentence of Order
Date Offence Court of Court
Affix a recent passport
photo on one form:
Address of last School Employed at:
...............................................................................................................
...............................................................................................................
...............................................................................................................
If you have received permission previously to teach at a school in Botswana give:--
(a) Name of School:.............................................................................................
(b) Date of Permission:.........................................................................................
Signed: ....................................................................................... Date:...................................
__________________________________________________________________________________________
FOR OFFICIAL USE ONLY
NOT PERMITTED TO TEACH IN BOTSWANA:......................................................................................................................
PERMITTED TO TEACH AT: .....................................................................................................................................................
Date :....................................................................................
.............................................................................................
For/Permanent Secretary Ministry of Education


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