Teacher Registration Number Application Form

SECTION 1: GENERAL INFORMATION

PLEASE ENTER YOUR FULL NAME

Prefix

First Name *

Middle Name

Last Name *

PLEASE ENTER YOUR COMPLETE ADDRESS

House/LP Number *

Street Address *

City/Town *

PLEASE ENTER YOUR CONTACT INFORMATION

Primary Contact Number *

Primary Email Address *

PLEASE ENTER YOUR DATE OF BIRTH AND OTHER RELEVANT INFORMATION:

Date of Birth *

Place of Birth:

Nationality

Passport Sized Photo: *

No file chosen

Must be in JPG, JPEG or PNG Format and no larger than 100MB

Birth Certificate: *

No file chosen

Must be in PDF Format and no larger than 100MB

SECTION 2: ACADEMIC QUALIFICATIONS

PLEASE PROVIDE ALL ACADEMIC QUALIFICATIONS:Please upload the relevant certificate for each academic qualification. Files must be in PDF format not exceeding 100MB

School / Institution Attended: *

Qualification / Certification: *

Year Obtained: *

Certificate / Degree *

No file chosen

PLEASE COMPLETE THE FOLLOWING

Have you ever been refused permission to register as a Teacher or have had your name removed from the Teacher's Register? *YESNO

Have you completed five (5) subjects at CXC General Proficiency - Grades I, II or III OR General Certificate of Education (GCE) Grades A, B or C. *YESNO

Have you completed English at CXC General Proficiency - Grades I, II or III OR General Certificate of Education (GCE) Grades A, B or C. *YESNO

Have you completed Mathematics at CXC General Proficiency - Grades I, II or III OR General Certificate of Education (GCE) Grades A, B or C. *YESNO

Have you completed at least one (1) of the following Natural Sciences at CXC General Proficiency - Grades I, II or III OR General Certificate of Education (GCE) Grades A, B or C. *YESNONatural Sciences include any of the following: 1. Biology 2. Chemistry 3. Physics 4. Integrated Science 5. Food and Nutrition 6. Agricultural Science 7. Clothing and Textiles 8. Human and Social Biology

SECTION 3: RECOMMENDATIONS

You MUST submit 2 recommendations

Recommendation / TestimonialAll Recommendations / Testimonials must be submitted with the official school letterhead, bearing the school's stamp. The documents uploaded must be in PDF format and no larger than 100MB

Name of Recommender: *

Post / Position Held: *

Current School: *

Teacher Registration Number: *

Testimonial / Recommendation Letter: *

No file chosen

SECTION 4: ADDITIONAL DOCUMENTS

Official Receipt (TT$5.00) *

No file chosen

Teacher Registration No. Payment. Must be in PDF Format and no larger than 100MB

Certificate of Good Character *

No file chosen

Certificate must be submitted for processing to begin. Must be in PDF Format and no larger than 100MB

Marriage Certificate

No file chosen

For Married Women Only. Must be in PDF Format and no larger than 100MB

Affidavit

No file chosen

Only if Applicable. Must be in PDF Format and no larger than 100MB

Deed Poll

No file chosen

Only if Applicable. Must be in PDF Format and no larger than 100MB

SECTION 1: GENERAL INFORMATION

SECTION 2: ACADEMIC QUALIFICATIONS

SECTION 3: RECOMMENDATIONS

You MUST submit 2 recommendations

SECTION 4: ADDITIONAL DOCUMENTS

DECLARATION