part time appliaction Form - bachelor

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APPLICATION REF No ------------------------------
DEPARTMENT OF PROCESS OPERATIONS TECHNOLOGY
APPLICATION FORM
BACHELOR IN PROCESS OPERATIONS TECHNOLOGY (PART TIME)
Instructions to the candidate.
1. Fill up all the details in application form with correct information.
2. Submit the photocopy of following certificates along with application form
1. Grade – 12 Certificate
2. Civil ID card
3. Diploma certificate
4. Academic Transcript
(For Diploma)
5. Experience certificate
6. No objection certificate
(From employer)
Note:
1.
2.
If any of the details are incorrect in the application form, Failure to get the admission in Part Time Studies.
Do not enclose the any training certificates with this application form.
POST BOX No: 532, P.C.CODE: 322, FALAJ AL QABAIL, SOHAR, SULTANATE OF OMAN,
TEL: +968 26 82 77 77, +968 26 82 77 88
EMAIL: info@imco.edu.om
FAX: +968 26 82 77 44
WEBSITE: www.imco.edu.om
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NAME
NATIONALITY
ID NUMBER
GENDER
MALE
FEMALE
ADDRESS FOR COMMUNICATION
TELEPHONE NUMBER (RESIDENCE)
MOBILE NUMBER
EMAIL ID
CONTACT DETAILS ( In case of Emergency)
NAME
MOBILE NUMBER
TELEPHONE NUMBER (RESIDENCE)
RELATIONSHIP
PLACE
ACADAMIC DETAILS(GRADE -12)
NAME OF SCHOOL
AVERAGE GRADE SCORED IN GRADE - 12
ENGLISH
MATHS
CHEMISTRY
PHYSICS
ACADAMIC DETAILS( DIPLOMA)
TITLE OF THE DIPLOMA
AREA OF SPECIALISATION
NAME OF THE COLLLEGE / UNVERSITY
GPA
POST BOX No: 532, P.C.CODE: 322, FALAJ AL QABAIL, SOHAR, SULTANATE OF OMAN,
TEL: +968 26 82 77 77, +968 26 82 77 88
EMAIL: info@imco.edu.om
FAX: +968 26 82 77 44
WEBSITE: www.imco.edu.om
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EMPLOYMENT DETAILS
NAME OF THE EMPLOYER
POSITION & EXPERIENCE
WORKING SCHEDULE DETAILS
WEEKLY WORKING DAYS ON
WEEKLY WORKING DAYS OFF
DECLARATION
The above information is true to the best of my knowledge and I will abide the Rules & Regulations of the college.
Signature
Date
POST BOX No: 532, P.C.CODE: 322, FALAJ AL QABAIL, SOHAR, SULTANATE OF OMAN,
TEL: +968 26 82 77 77, +968 26 82 77 88
EMAIL: info@imco.edu.om
FAX: +968 26 82 77 44
WEBSITE: www.imco.edu.om
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For Office Use
Comments – Part Time Studies Coordinator / Admission
Signature
Date
Comments – Part Time Coordinator / POT Department
Signature
Date
Comments – HOD / POT Department
Signature
Date
Comments – HoD Admission & Registration
Signature
Date
POST BOX No: 532, P.C.CODE: 322, FALAJ AL QABAIL, SOHAR, SULTANATE OF OMAN,
TEL: +968 26 82 77 77, +968 26 82 77 88
EMAIL: info@imco.edu.om
FAX: +968 26 82 77 44
WEBSITE: www.imco.edu.om
Page 4 of 4
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