UDOM/PGS.
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THE UNITED REPUBLIC OF TANZANIA
MINISTRY OF EDUCATION, SCIENCE AND TECHNOLOGY
THE UNIVERSITY OF DODOMA
APPLICATION FORM
PART A: APPLICANTS PERSONAL DETAILS
Name of the Applicant
Surname: ………………………………………….. First Name: …………………………… Other Names: ……………….
Date of Birth: …………………………………… Sex: …………………………… Nationality: ……………………….
Mobile No: ……………………………………….. E-mail: …………………………………………………………………...
PART B: PROGRAMME DESCRIPTION (Tick where appropriate)
Type of Application: Postgraduate Diploma Masters PhD
Nature of Programme: Coursework and Dissertation Research Alone
Programme Mode: Full time Part time
Name of the Propgramme in Full (eg Masters of Laws in Human Rights) …………………………………………
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PART C: EDUCATION BACKGROUND1
S/N Name of the Institution and Qualification/Degree Awarded Year of Graduation
Country
1.
2.
3.
4.
5.
6.
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Start with your highest qualification. Do not include primary education. Attach academic certificates and
transcripts
**Applicants applying for Masters by thesis or PhD by thesis must attach a concept note together with their
applications
PART D: EMPLOYMENT, SPONSORSHIP, REFEREES AND DECLARATION
Current Employer: …………………………………………
Post Held:………………………………………………………
Sponsorship: Private Sponsored2
Name of Referee 1 ………………………………………………………………………………………………………………………
Name of Referee 2 ………………………………………………………………………………………………………………………
I certify that the above information is true to the best of my knowledge
Applicant’s Signature:……………………………………… Date:…………………………………………
PART E: FOR OFFICIAL USE ONLY
Admission Office
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Signature:…………………………………. Date:………………………………………………..
ATTACHMENTS CHECKLIST
Referee’s recommendation forms
Application payment slips
Copies of academic transcripts
Copies of academic certificates
Birth certificate
Concept note (for Masters and PhD by Thesis applicants)
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If sponsored attach sponsorship commitment letter
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