Certificate of Service

TS.
Form 21
Stocked by Min. of Ed.
50m C47 3/75 4B
TEACHING SERVICE
CERTIFICATE OF SERVICE
(To be completed in quadruplicate)
Reference No…….……………
Name: ……………………………………………………………………………………………..
Period of Service from: ………………………………………. To ……………………………
Position held: ……………………………………………………………………………………
Cause of Termination of Engagement:…………………………………………………………..
*Efficiency: …………………………………………………………………………………..
*General conduct:…………………………………………………………………………………
Date:……………………………….. ……………………………………
Manager
Approved
……………………………………..
Permanent Secretary
Ministry of Education
*Efficiency and general conduct to assessed as “Very Good”, “Good”, “Fair” or

“Indifferent”.
TS. Form 21
50m C47 3/75 4B
TEACHING SERVICE

TS/32432
Reference No………………
Name: CHANDA JOSEPH SHAULI
Period of Service from: 1ST MAY, 1981 To: 16TH APRIL, 2012.
Position held: HEADTEACHER GRADE III (ESS/08)
Cause of Termination of Engagement: RETIREMENT
*Efficiency: GOOD
*General conduct: VERY GOOD
Date:…………………………….. ……………………………………
Manager
Approved
……………………………………..
Permanent Secretary

“Indifferent”.
TS. Form 21
50m C47 3/75 4B
TEACHING SERVICE
Reference No: TS/32163
Name: MUTUKWA MARTIN MULETAMBO
Period of Service from: 1ST MAY, 1980 To 30TH APRIL, 2011
*Efficiency: GOOD
Date:…………………………….. ……………………………………
Manager
Approved
……………………………………..
Permanent Secretary

“Indifferent”.
TS. Form 21
50m C47 3/75 4B
TEACHING SERVICE
Reference No: 31608
Name: SIMASHELA SITUMBEKO FLORENCE
Period of Service from: 1ST JANUARY, 1975 To 13TH SEPTEMBER, 2010
Position held: HEADTEACHER GRADE III
*Efficiency: GOOD
*General conduct: GOOD
Date:…………………………….. ……………………………………
Manager
Approved
……………………………………..
Permanent Secretary

“Indifferent”.
TS. Form 21
50m C47 3/75 4B
TEACHING SERVICE
Reference No: 59152
Name: Hamakala Veronica
Period of Service from: 1st January, 1976 To 30th April, 2010
Position held: Classteacher.
Cause of Termination of Engagement: Retirement
*Efficiency: Good
*General conduct: Good
Date:…………………………….. ……………………………………
Manager
Approved
……………………………………..
Permanent Secretary

“Indifferent”.
TS. Form 21
50m C47 3/75 4B
TEACHING SERVICE
Reference No: 31551
Name: Wamunyima Ikashiko Lungowe Elizabeth
Period of Service from: 1st January, 1975 To 30th April, 2010
*Efficiency: Good
Date:…………………………….. ……………………………………
Manager
Approved
……………………………………..
Permanent Secretary

“Indifferent”.
TS. Form 21
50m C47 3/75 4B
TEACHING SERVICE
Reference No: 32179
Name: Njekwa Wamunyima D
Period of Service from: 1st May, 1980 To 30th June, 2010
Position held: Headteacher
*Efficiency: Good
Date:…………………………….. ……………………………………
Manager
Approved
……………………………………..
Permanent Secretary

“Indifferent”.
TS. Form 21
50m C47 3/75 4B
TEACHING SERVICE
Reference No: 83364
Name: Masilokwa Masilokwa
Period of Service from: 1st January, 1989 To 19th February, 2010
Position held: Deputy Head.
Cause of Termination of Engagement: Death
*Efficiency: Good
Date:…………………………….. ……………………………………
Manager
Approved
……………………………………..
Permanent Secretary

“Indifferent”.
TS. Form 21
50m C47 3/75 4B
TEACHING SERVICE
Reference No: 33164
Name: Noanga Namboo
Period of Service from: 1st January, 1986 To 12th July, 2001
Cause of Termination of Engagement: Death
*Efficiency: Good
Date:…………………………….. ……………………………………
Manager
Approved
……………………………………..
Permanent Secretary

“Indifferent”.
TS. Form 21
50m C47 3/75 4B
TEACHING SERVICE
Reference No: 31905
Name: Mubita Mushe
Period of Service from: 1st May, 1978 To 30th June, 2008
Position held: Headteacher
*Efficiency: Good
Date:…………………………….. ……………………………………
Manager
Approved
……………………………………..
Permanent Secretary

“Indifferent”.
TS. Form 21
50m C47 3/75 4B
TEACHING SERVICE

32059
WALUSIKU MAKOKWA
Name:……………………………………………………………………………………………….
1ST MAY, 1979 31ST MAY, 2010
Period of Service from:………………………………… To……………………………………
HEADTEACHER GRADE III
Position held:……………………………………………………………………………………..
RETIREMENT
Cause of Termination of Engagement:……………………………………………………………
GOOD
*Efficiency:……………………………………………………………………………………….
GOOD
*General conduct:………………………………………………………………………………..
Date:…………………………….. ……………………………………
Manager
Approved
……………………………………..
Permanent Secretary
*Efficiency and general conduct to assessed as “Very Good”, “Good”, “Fair” or “Indifferent”.
TS. Form 21
50m C47 3/75 4B
TEACHING SERVICE
31903
PEZULU KITREME FREDDIE
Name:
……………………………………………………………………………………………….
1ST MAY, 1978 30TH JUNE, 2010
HEAD GRADE II
Position held:……………………………………………………………………………………..
RETIREMENT
Cause of Termination of Engagement:…………………………………………………………
GOOD
*Efficiency:……………………………………………………………………………………….
GOOD
*General conduct:………………………………………………………………………………..
Date:…………………………….. ………………………
Manager
Approved
……………………………………..
Permanent Secretary
______________________________________________________________________

“Indifferent”.
TS. Form 21
50m C47 3/75 4B
TEACHING SERVICE
32235
MAKETO MUSIALIKE
Name:
……………………………………………………………………………………………….
1ST MAY, 1980 30TH JUNE, 2009
HEAD GRADE III
Position held:……………………………………………………………………………………..
RETIREMENT
Cause of Termination of Engagement:…………………………………………………………
GOOD
*Efficiency:……………………………………………………………………………………….
GOOD
*General conduct:………………………………………………………………………………..
Date:…………………………….. ………………………
Manager
Approved
……………………………………..
Permanent Secretary
______________________________________________________________________

“Indifferent”.
TS. Form 21
50m C47 3/75 4B
TEACHING SERVICE

31371
KAPUWE MAUREEN SIYANGA
Name:……………………………………………………………………………………………….
1ST JANUARY, 1973 31ST MAY, 2010
SENIOR TEACHER
Position held:……………………………………………………………………………………..
RETIREMENT
Cause of Termination of Engagement:……………………………………………………………
GOOD
*Efficiency:……………………………………………………………………………………….
GOOD
*General conduct:………………………………………………………………………………..
Date:…………………………….. ……………………………………
Manager
Approved
……………………………………..
Permanent Secretary
*Efficiency and general conduct to assessed as “Very Good”, “Good”, “Fair” or “Indifferent”.
TS. Form 21
50m C47 3/75 4B
TEACHING SERVICE

39574
SICHUUNGA CAROLINE
Name: ……………………………………………………………………………………………..
Period of Service from: 6th October, 2009 To 22nd February, 2011
Position held: CLASS TEACHER
Cause of Termination of Engagement: DEATH
*Efficiency: GOOD
Date:……………………………….. ……………………………………
Manager
Approved
……………………………………..
Permanent Secretary

“Indifferent”.
TS. Form 21
50m C47 3/75 4B
TEACHING SERVICE

32222
SIMASIKU PHELIM MWIYA
Name: ……………………………………………………………………………………………..
Period of Service from: 1ST MAY, 1980. To 31ST MARCH, 2011
Position held: HEAD GRADE III
*Efficiency: GOOD
Date:……………………………….. ……………………………………
Manager
Approved
……………………………………..
Permanent Secretary

“Indifferent”.
TS. Form 21
50m C47 3/75 4B
TEACHING SERVICE

36205
AKOKWA NAWA FRANK
Name: ……………………………………………………………………………………………..
Period of Service from: 1ST JUNE, 2002 To 24TH DECEMBER, 2010
*Efficiency: GOOD
Date:……………………………….. ……………………………………
Manager
Approved
……………………………………..
Permanent Secretary

“Indifferent”.
TS. Form 21
50m C47 3/75 4B
TEACHING SERVICE

107232
MATE FRED
Name: ……………………………………………………………………………………………..
Period of Service from: 1ST OCTOBER. To ……………………………
Position held: ……………………………………………………………………………………
Cause of Termination of Engagement:…………………………………………………………..
*Efficiency: …………………………………………………………………………………..
*General conduct:…………………………………………………………………………………
Date:……………………………….. ……………………………………
Manager
Approved
……………………………………..
Permanent Secretary

“Indifferent”.
TS. Form 21
50m C47 3/75 4B
TEACHING SERVICE
Reference No 32610
Name: KATETE KAYOMBO CHARLES
Period of Service from: 1st MAY, 1982 To 31st MARCH, 2011
Cause of Termination of Engagement: RETIREMENT.
*Efficiency: GOOD
Date:……………………………….. ……………………………………
Manager
Approved
……………………………………..
Permanent Secretary

“Indifferent”.
TS. Form 21
50m C47 3/75 4B
TEACHING SERVICE

31384
NAWA LOVENESS INONGE LIAMBA
Name: ……………………………………………………………………………………………..
Period of Service from: 1ST JANUARY, 1973 To 30TH APRIL, 2010
*Efficiency: GOOD
Date:……………………………….. ……………………………………
Manager
Approved
……………………………………..
Permanent Secretary

“Indifferent”.
TS. Form 21
50m C47 3/75 4B
TEACHING SERVICE

88158
CHILAMBIKA JAMES
Name: ……………………………………………………………………………………………..
Period of Service from: 12TH FEBRUARY, 1997 To 15TH NOVEMBER, 2010
*Efficiency: GOOD
Date:……………………………….. ……………………………………
Manager
Approved
……………………………………..
Permanent Secretary

“Indifferent”.
TS. Form 21
50m C47 3/75 4B
TEACHING SERVICE

59249
KAMWATA ESTHER KAMWAYA
Name: ……………………………………………………………………………………………..
Period of Service from: 1ST MAY, 1979 To 2ND JUNE, 2011
Position held: RETIREMENT
Cause of Termination of Engagement: GOOD
*Efficiency: GOOD
*General conduct:…………………………………………………………………………………
Date:……………………………….. ……………………………………
Manager
Approved
……………………………………..
Permanent Secretary

“Indifferent”.
TS. Form 21
50m C47 3/75 4B
TEACHING SERVICE

TS# 34505
MUKOSHA WEBBY
Name: ……………………………………………………………………………………………..
Period of Service from: 1ST MAY, 1995 To 21ST OCTOBER, 2011
*Efficiency: GOOD
Date:……………………………….. ……………………………………
Manager
Approved
……………………………………..
Permanent Secretary

“Indifferent”.
TS. Form 21
50m C47 3/75 4B
TEACHING SERVICE

TS# 33064
MASHESHA MUBITA
Name: ……………………………………………………………………………………………..
Period of Service from: 1ST MAY, 1985 To 5TH SEPTEMBER, 2011
Position held: RETIREMENT
*Efficiency: GOOD
*General conduct:…………………………………………………………………………………
Date:……………………………….. ……………………………………
Manager
Approved
……………………………………..
Permanent Secretary

“Indifferent”.
TS. Form 21
50m C47 3/75 4B
TEACHING SERVICE

TS/ 33418
MATOKWANI MULEMWA
Name: ……………………………………………………………………………………………..
Period of Service from: 1st January, 1987 To 6th November, 2011
Position held: DEPUTY HEAD GRADE III
*Efficiency: GOOD
*General conduct:…………………………………………………………………………………
Date:……………………………….. ……………………………………
Manager
Approved
……………………………………..
Permanent Secretary

“Indifferent”.
TS. Form 21
50m C47 3/75 4B
TEACHING SERVICE

33800
MR. KABUBI KENNEDY
Name: ……………………………………………………………………………………………..
Period of Service from: 1ST JANUARY, 1990 To 14TH AUGUST, 2000
*Efficiency: GOOD
Date:……………………………….. ……………………………………
Manager
Approved
……………………………………..
Permanent Secretary

“Indifferent”.
TS. Form 21
50m C47 3/75 4B
TEACHING SERVICE
Reference No. 70836
Name: CHIZOKA MATILDAH BUTETE
Period of Service from: 1ST MAY, 1980 To 28TH DECEMBER,2011
Position held: CLASSTEACHER
*Efficiency: GOOD
Date:……………………………….. ……………………………………
Manager
Approved
……………………………………..
Permanent Secretary

“Indifferent”.
TS. Form 21
50m C47 3/75 4B
TEACHING SERVICE

31870
Name: SHIMBALI GERTRUDE MONDE
Period of Service from: 1ST MAY, 1978 To 21ST NOVEMBER, 2011
*Efficiency: GOOD
Date:……………………………….. ……………………………………
Manager
Approved
……………………………………..
Permanent Secretary

“Indifferent”.
TS. Form 21
50m C47 3/75 4B
TEACHING SERVICE

59425
Name: KAHETA MONICA KAPUTULA
Period of Service from: 1ST MAY, 1980 To 31ST DECEMBER, 2011
*Efficiency: GOOD
Date:……………………………….. ……………………………………
Manager
Approved
……………………………………..
Permanent Secretary

“Indifferent”.
TS. Form 21
50m C47 3/75 4B
TEACHING SERVICE
Reference No. TS/ 32310
Name: MUBITA MICHAEL MUBITA
Period of Service from: 1ST MAY, 1981 To 21ST AUGUST, 2011
Position held: HEADTEACHER
*Efficiency: GOOD
Date:……………………………….. ……………………………………
Manager
Approved
……………………………………..
Permanent Secretary

“Indifferent”.
TS. Form 21
50m C47 3/75 4B
TEACHING SERVICE
Reference No. 8709
Name: MUYUNDA CHARLES
Period of Service from: 1ST DECEMBER, 1973 To 28TH FEBRUARY, 2008
*Efficiency: GOOD
Date:……………………………….. ……………………………………
Manager
Approved
……………………………………..
Permanent Secretary

“Indifferent”.
TS. Form 21
50m C47 3/75 4B
TEACHING SERVICE
Reference No. 33018
Name: SINABU CHRISPIN MUKONGOLWA
Period of Service from: 1ST MAY, 1985 To 9TH FEBRUARY, 2012
Position held: HEADTEACHER GRADE II (ESS/06)
*Efficiency: GOOD
Date:……………………………….. ……………………………………
Manager
Approved
……………………………………..
Permanent Secretary

“Indifferent”.
TS. Form 21
50m C47 3/75 4B
TEACHING SERVICE
Reference No. TS/32024
Name: SIBESANU AGRIPA MATE
Period of Service from: 1ST MAY, 1979 To 31ST DECEMBER, 2011
*Efficiency: GOOD
Date:……………………………….. ……………………………………
Manager
Approved
……………………………………..
Permanent Secretary

“Indifferent”.
TS. Form 21
50m C47 3/75 4B
TEACHING SERVICE
Name: MUSO SILILO NDIYOYI
Period of Service from: 1ST MAY, 1981 To 30TH APRIL, 2012
Position held: DEPUTY HEAD GRADE III (ESS/09)
*Efficiency: GOOD
Date:……………………………….. ……………………………………
Manager
Approved
……………………………………..
Permanent Secretary

“Indifferent”.
TS. Form 21
50m C47 3/75 4B
TEACHING SERVICE
Name: LUBINDA IDAH MUBIANA
Period of Service from: 1ST MAY, 1982 To 24TH JULY, 2012
*Efficiency: GOOD
Date:……………………………….. ……………………………………
Manager
Approved
……………………………………..
Permanent Secretary

“Indifferent”.
TS. Form 21
50m C47 3/75 4B
TEACHING SERVICE
Name: NAMUTABO MUBITA
Period of Service from: 1ST MAY, 1983 To 24TH AUGUST, 2012
Position held: HEADTEACHER GRADE II (ESS/06)
*Efficiency: GOOD
Date:……………………………….. ……………………………………
Manager
Approved
……………………………………..
Permanent Secretary

“Indifferent”.
TS. Form 21
50m C47 3/75 4B
TEACHING SERVICE
Name: NAMANGOLWA CHARLES SIYOTO
Period of Service from: 1ST JUNE, 2002 To 28TH OCTOBER, 2010
*Efficiency: GOOD
Date:……………………………….. ……………………………………
Manager
Approved
……………………………………..
Permanent Secretary

“Indifferent”.
TS. Form 21
50m C47 3/75 4B
TEACHING SERVICE
Name: MALITELA SIMUSHI
Period of Service from: 10TH JANUARY, 2005 To 6TH NOVEMBER, 2011
*Efficiency: FAIR
*General conduct: FAIR
Date:……………………………….. ……………………………………
Manager
Approved
……………………………………..
Permanent Secretary

“Indifferent”.
TS. Form 21
50m C47 3/75 4B
TEACHING SERVICE
Name: NDUI NOSIKU FLORENCE
Period of Service from: 10TH JANUARY, 2005 To 15TH JANUARY, 2012
*Efficiency: GOOD
Date:……………………………….. ……………………………………
Manager
Approved
……………………………………..
Permanent Secretary

“Indifferent”.
TS. Form 21
50m C47 3/75 4B
TEACHING SERVICE
Name: KAYOYA MARK
Period of Service from: 1ST MAY, 1983 To 30TH MAY, 2002
Position held: SENIOR TEACHER
*Efficiency: GOOD
Date:……………………………….. ……………………………………
Manager
Approved
……………………………………..
Permanent Secretary

“Indifferent”.
TS. Form 21
50m C47 3/75 4B
TEACHING SERVICE
Name: MBOOLA PHILLIS MANYANDO MWANAMAMBO
Period of Service from: 1ST MAY, 1978 To 30TH NOVEMBER, 2011
*Efficiency: GOOD
Date:……………………………….. ……………………………………
Manager
Approved
……………………………………..
Permanent Secretary

“Indifferent”.
TS. Form 21
50m C47 3/75 4B
TEACHING SERVICE
Name: BUKALI LUXIE
Period of Service from: 1ST MAY, 1984 To 1ST SEPTEMBER, 2012
*Efficiency: GOOD
Date:……………………………….. ……………………………………
Manager
Approved
……………………………………..
Permanent Secretary

“Indifferent”.
TS. Form 21
50m C47 3/75 4B
TEACHING SERVICE
Name: MUNALULA DICKENS IMASIKU
Period of Service from: 1ST MAY, 1981 To 30TH JUNE, 2012
Position held: DEPUTY HEADTEACHER GRADE III (ESS/09)
*Efficiency: GOOD
Date:……………………………….. ……………………………………
Manager
Approved
……………………………………..
Permanent Secretary

“Indifferent”.
TS. Form 21
50m C47 3/75 4B
TEACHING SERVICE
Name: MWIYA SIMASIKU
Period of Service from: 1ST MAY, 1995 To 18TH JULY, 2011
Position held: CLASS TEACHER (ESS/08)
*Efficiency: GOOD
Date:……………………………….. ……………………………………
Manager
Approved
……………………………………..
Permanent Secretary

“Indifferent”.

Certificate of Service

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Certificate of Service

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TS.

(To be completed in quadruplicate)

Period of Service from: ………………………………………. To ……………………………

Position held: ……………………………………………………………………………………

Cause of Termination of Engagement:…………………………………………………………..

*Efficiency and general conduct to assessed as “Very Good”, “Good”, “Fair” or

(To be completed in quadruplicate)

Name: CHANDA JOSEPH SHAULI

Position held: HEADTEACHER GRADE III (ESS/08)

Cause of Termination of Engagement: RETIREMENT

*General conduct: VERY GOOD

*Efficiency and general conduct to assessed as “Very Good”, “Good”, “Fair” or

(To be completed in quadruplicate)

Reference No: TS/32163

Name: MUTUKWA MARTIN MULETAMBO

Period of Service from: 1ST MAY, 1980 To 30TH APRIL, 2011

Position held: HEADTEACHER GRADE III (ESS/07)

Cause of Termination of Engagement: RETIREMENT

*General conduct: VERY GOOD

*Efficiency and general conduct to assessed as “Very Good”, “Good”, “Fair” or

(To be completed in quadruplicate)

Reference No: 31608

Name: SIMASHELA SITUMBEKO FLORENCE

Period of Service from: 1ST JANUARY, 1975 To 13TH SEPTEMBER, 2010

Position held: HEADTEACHER GRADE III

Cause of Termination of Engagement: RETIREMENT

*General conduct: GOOD

*Efficiency and general conduct to assessed as “Very Good”, “Good”, “Fair” or

(To be completed in quadruplicate)

Reference No: 59152

Name: Hamakala Veronica

Period of Service from: 1st January, 1976 To 30th April, 2010

Position held: Classteacher.

Cause of Termination of Engagement: Retirement

*General conduct: Good

*Efficiency and general conduct to assessed as “Very Good”, “Good”, “Fair” or

(To be completed in quadruplicate)

Reference No: 31551

Name: Wamunyima Ikashiko Lungowe Elizabeth

Period of Service from: 1st January, 1975 To 30th April, 2010

Position held: Classteacher.

Cause of Termination of Engagement: Retirement

*General conduct: Good

*Efficiency and general conduct to assessed as “Very Good”, “Good”, “Fair” or

(To be completed in quadruplicate)

Reference No: 32179

Name: Njekwa Wamunyima D

Period of Service from: 1st May, 1980 To 30th June, 2010

Position held: Headteacher

Cause of Termination of Engagement: Retirement

*General conduct: Good

*Efficiency and general conduct to assessed as “Very Good”, “Good”, “Fair” or

(To be completed in quadruplicate)

Reference No: 83364

Name: Masilokwa Masilokwa

Period of Service from: 1st January, 1989 To 19th February, 2010

Position held: Deputy Head.

Cause of Termination of Engagement: Death

*General conduct: Good

*Efficiency and general conduct to assessed as “Very Good”, “Good”, “Fair” or

(To be completed in quadruplicate)

Reference No: 33164