Approval Application form

for Trainer, Assessor and Internal Verifier

About this form

• This form must be completed by each staff member who will be involved in teaching, assessment or internal
verification of the vocational qualification.
• The completed application should be submitted to QualificationsAndAwards@khda.gov.ae at the time of application
for Vocational Qualification Approval.

Institution Details

Institution name KHDA Permit number

Staff Personal Information

Full Name (as in Emirates ID)

Emirates ID Number Nationality

Gender Date of Birth (dd/mm/yyyy)

Please select

Email address Phone number

Staff Photo

Staff Role(s) in the Vocational Qualification

Please specify the staff role(s) he/she is involved in teaching, assessment or internal verification of the vocational qualification.

Role

Trainer Assessor Internal Verifier

Employment Type
Please select

Vocational Qualification
Approval for Trainer, Assessor and Internal Verifier application form 2

Staff Qualifications and Experience

Staff Education
Please provide details of staff educational qualifications relevant to the vocational qualification(s) he/she is involved in teaching, assessment
or internal verification.

Qualification Date of
Qualification Title Institution Name Country Field of Study
Type Completion
Please select

Please select

Please select

Please select

Trainer/ Assessor/ Internal Verifier Qualifications

Please provide details of the staff Trainer/ Assessor /Internal Verifier qualifications.
Status
Trainer/Assessor/ Achieved/ Expected
Qualification Title Awarding organisation Completed/ Working
Internal Verifier completion date
towards

Please select Please select

Please select Please select

Please select Please select

Please select Please select

Approval for Trainer, Assessor and Internal Verifier application form 3

Staff Work Experience

Please provide details of staff work experience relevant to the vocational qualification he/she is involved in teaching, assessment or
internal verification.

Employment Years of
Job Title Major Roles/ Responsibilities Organisation Country
Type Experience

Please select

Please select

Please select

Please select

Please select

Please select

Supporting Evidence
Please submit the following supporting evidences with this application form.

Evidence Please Confirm Evidence Reference

1. Personal Identification (e.g., Emirates ID, copy of passport) Please select

2. Staff Education Qualifications (certificates and transcripts) Please select

3. Trainer/ Assessor/ Internal Verifier Qualifications (certificates and transcripts) Please select

4. Staff Work Experience (letters, certificates, etc..) Please select

Approval for Trainer, Assessor and Internal Verifier application form 4

Declaration
I hereby confirm that:
• the information provided in this form is true, complete and accurate.
• I am authorised to sign and submit this application form on behalf of the institution.

Staff Name

Signature of the staff Date (dd/mm/yyyy)

Name of of the key contact person

Signature of the key contact person Date (dd/mm/yyyy)

AATAIV- V1-22 June 2022