APPLICATION FOR EXAMINATION CENTER FOR THE EXAMINATIONS OF UGANDA
BUSINESS AND TECHNICAL EXAMINATIONS BOARD (UBTEB)
Heads of institutions applying for centres for the Examinations of UBTEB are requested to provide
information asked for in this form. UBTEB will then arrange to inspect the Institution (if satisfied with the
information given on this form) and shall later compile a report for presentation to the respective Board
Committees responsible for approval of examination centres.
SECTION A: THE INSTITUTION:
1. (a) Name of Institution: _______________________________________________________
(b) Address: ________________________________________________________________
(c) Telephone No: _____________________ District: _______________________________
(d) Town: ____________________________ Village: _______________________________
(e) E-mail: ___________________________ Fax: __________________________________
(f) Website: _______________________________________________________
2. (a) Name of Head of Institution: __________________________________________________
(b) Official Title: _____________________________________________________________
(c) (i) Professional Qualifications ( E.g. B. Eng, BSC. Eng, BSC. Agric, B.Com etc):
_______________________
(ii) Teaching qualification (CTTE, PGDE, etc): _______________________________________
(d) UTS No: ________________________________________________________________
(e) Teaching Experience: _______________________________________________________
(f) Telephone Contact: ________________________________________________________
3. (a) Category of Institution by funding: (Tick whichever is applicable)
(i) Government grant-aided
(ii) Private TECHNICAL EXAMINATIONS BOARD (UBTEB)
© Uganda Business and Technical Examinations Board
(b) Category of institution by Field of Specialisation (Tick whichever is applicable)
(i) Business
(ii) Technical
(iii) Vocational e.g. Biological
(iv) Others (List below the area/ field of specialization)
_____________________________________________________________________________
_____________________________________________________________________________
If private, state proprietors’ Names, Telephone contacts and Address (Attach all relevant documents).
Name:__________________________________________ Tel:_________________________
Address: _____________________________________________________________________________
4. Institution as a Bonafide Education Establishment
(a) Which year was the institution started? _________________________________________
(b) Is the institution licensed or fully registered with the Government? YES/NO. State which
ever is appropriate: _________________________________________
(c) If YES, state when it was inspected by the Ministry of Education and Sports officials before :
(i) Licensing was processed: ____________________________
(ii) Registration was processed. _____________________________________________
(d) State Registration Number: __________________________________________________
(Attached photocopy of letter of license or Registration Certificate and Inspection Report of
(c) above).
(e) (i) Which is the nearest storage station (e.g. Police Station) to the Institution where
Examinations can be stored? (Find out if approved as Storage for UBTEB Examinations).
_________________________________________________________________________
(ii) Describe the nature of exam storage facility at your institution apart from the one in e
(i) above: _______________
(f) What is the distance to the nearest storage station? ______ __________________________
(g) Draw or attach a clear sketch showing a direction to the Institution to guide UBTEB officials
during inspection. (See section H on page 8).
SECTION B: STUDENTS ENROLLMENT
5. Give numbers of enrolled students in each course offered in your Institution as per year.
Course Name Year No. of Students
(a) _____________________________1st Year ___________ _____________
_____________________________ 2nd Year ___________ _____________
_____________________________ 3rd Year ___________ _____________
(b) _____________________________ 1st Year ___________ _____________
_____________________________ 2nd Year ____________ _____________
_____________________________ 3rd Year ____________ _____________
(c) _____________________________1st Year ___________ _____________
_____________________________ 2nd Year ___________ _____________
_____________________________ 3rd Year ___________ _____________
(d) _____________________________ 1st Year ___________ _____________
_____________________________ 2nd Year ____________ _____________
_____________________________ 3rd Year ____________ _____________
(e) _____________________________1st Year ___________ _____________
_____________________________ 2nd Year ___________ _____________
Course Name Year No. of Students
_____________________________ 3rd Year ___________ _____________
(f) _____________________________ 1st Year ___________ _____________
_____________________________ 2nd Year ____________ _____________
_____________________________ 3rd Year ____________ _____________
6. (a) Has your Institution ever presented candidates for examinations offered by other
Examinations Board? ___________________ YES/NO (Tick whichever is applicable).
Mention them: ___________________________________________________________
(b) If YES, which examination centre did you use?
Center Number: ___________________________________________________________
Name of Institution:________________________________________________________©Uganda Business and Technical Examinations Board 4
Years of Examination: ______________________________________________________
7. How many candidates do you expect to register for Examinations at first entry if centre is granted?
State as detailed below per course showing the level of each examination.
Course Name Stage/Level No. of Candidates
_________________________________ __________________ _______________
_________________________________ __________________ _______________
_________________________________ __________________ _______________
_________________________________ __________________ ________________
_________________________________ __________________ _______________
_________________________________ __________________ _______________
_________________________________ __________________ _______________
_________________________________ __________________ ________________
_________________________________ __________________ _______________
_________________________________ __________________ ________________
8. List any other courses you offer but not examinable by UBTEB
____________________________________________________________________________________
________________________________________________________________________________
SECTION C: BUILDINGS
9. How many buildings does the Institution have? ________________________________________
Permanent structures: _____________________________________________________________
Semi permanent structures: ________________________________________________________
(A sketch showing arrangement of the building may be attached separately)
10 (a) How many classrooms are there? _____________________________________________
(b) What are the sizes of classrooms (in metres)? ___________________________________
11. (a) Does the Institution have Laboratories, workshops or specially equipped practical rooms for
specific fields & courses – such as Typewriting, Tailoring, shoemaking, News casting, hatchery etc?
_________________________________________________________________________
_________________________________________________________________________
(b) State how many for each in 11 (a) above:
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________©Uganda Business and Technical Examinations Board 5
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
12. (a) Does the Institution have an examination hall? _____________________________________
(b) If yes, what are the dimensions (in metres) of the hall? _______________________________
(c) How many candidates can sit in the hall if placed 1.2 metres apart? _____________________
13. (a) Is there an administration block housing the office of the Principal/Head of the Institution?
___________________________________________________________________________
(b) Is there a desk with lockable drawers for the Head? _________________________________
(c) Does the office have a lockable cupboard for storage of examinations materials? __________
(d) Material of partition wall (if applicable, please specify) ______________________________
(e) Has it got ceiling? YES/NO ____________________________________________________
SECTION D: FURNITURE
14. How many single seater desks does the Institution have?____________________________________
15. How many chairs? ______________Tables? _________________(specify the type and quantity).
N.B: A chart of the furniture arrangement may be attached separately.
SECTION E: EQUIPMENT
16. List the equipment and apparatus available in Workshops, Laboratories, or other special rooms.
This should include the quantity available against each course.©Uganda Business and Technical Examinations Board 6
Course Name Equipment Quantity
_________________________________ __________________ _______________
_________________________________ __________________ _______________
_________________________________ __________________ _______________
_________________________________ __________________ ________________
_________________________________ __________________ _______________
_________________________________ __________________ _______________
_________________________________ __________________ _______________
_________________________________ __________________ ________________
_________________________________ __________________ _______________
_________________________________ __________________ ________________
NB: A list may be attached separately.
SECTION F: SECURITY
17. Security of confidential material:
(a) Who will be responsible for collection of the following; in case the Principal/head of
Institution is unable to pick them?
(i) Stationery, Time tables and other materials from UBTEB offices?
Name of the person: ___________________________________________________
Title: _____________________________________________________________
Telephone: ________________________________________________________
State means of transport: _____________________________________________
Post: _____________________________________________________________
Professional Reg. No.: _______________________________________________
(ii) Question paper from storage station and delivering scripts to the storage station
approved in that area?
Name of person: ____________________________________________________
Title: _____________________________________________________________
State means of transport: ______________________________________________
NB: The Officer in this case will do it in the presence of the Chief Examinations Supervisor or any other authorised officer by the Executive Secretary /UBTEB.
How will the question papers and scripts be temporarily stored at the Centre/Institution each
day while examination is in progress? _____________________________________
_________________________________________________________________________
(c) Who will be responsible for delivery of Course Work Assessment Marks to UBTEB Offices?
(where applicable, note that standard forms are to be used)
Name of person: _______________________________________________________
Title: ____________________________________________________________________
Telephone: _______________________________________________________________
SECTIOIN G: TEACHING STAFF
18. Please furnish a list of staff giving the details of their professional, Academic and Teaching
Qualifications as shown below (attach extra sheet id necessary):
TEACHER QUALIFICATIONS YEAR REG.
NUMBER
DATE OF
APPOINTMENT
FULL/PART
TIME
SECTION H: DECLARATION
19. I certify that the information given in this form is true and correct to the best of my knowledge and that if
this Institution is accepted as an examination center, the Institution’s administration shall accept the
responsibility of conducting the examinations according to the Board’s regulations.©Uganda Business and Technical Examinations Board 8
NAME OF HEAD: ______________________________________
SIGNATURE: _____________________________________
DATE: _________________________________________________
NB: Please fix this Application Form in a plastic folder together with all accompanying documents and
submit it to the Executive Secretary, Uganda Business and Technical Examinations Board , P. O. Box 1499,
Kampala-Uganda, UBTEB office in Ntinda, Plot 7, Valley Drive, about 500 metres from Ntinda Town
Centre along Ntinda – Kyambogo road.
20. Draw a sketch map here below or attach separately showing direction to the institution or attach a
larger one if necessary. (Please avoid giving a site plan of the institution’s structure)