AN140296 – Teachers' Award - Non-Governmental Schools 2003

SCHEDULE 1 (FORM OF CERTIFICATE)

TEACHERS' AWARD-NON - GOVERNMENTAL SCHOOLS

I,..................., Industrial Magistrate at ..................,

hereby certify that has satisfied me at a personal interview at which no other person was present that he wished to teach at ..................* purely from religious motives.

This certificate shall be operative from the .............day of.........., 20..., to the ............ day of ............, 20.............

Industrial Magistrate.

Dated this .............day of.............., 20.....

* Insert name of school.