APPLICATION FORM FOR ADMISSION TO DIPLOMACERTIFICATE IN LAW by axf14849

VIEWS: 0 PAGES: 6

									                                                        IJA Application Form 2010/11                       Page 1 of 3

                                                              (IJA)                                                                                         PHOTO
                                              INSTITUTE OF JUDICIAL ADMINISTRATION
                                                            LUSHOTO
General line: 2640133                                                                                                         P.O. Box 20,
Fax: 255-27-2640287                                                                                                           Lushoto – Tanzania.
Director of Studies: 2640284
Registrar: 2640009
Bursar: 2640285
IJASO: 2640045
www.ija.ac.tz.


                                     APPLICATION FORM FOR ADMISSION TO DIPLOMA/CERTIFICATE IN LAW PROGRAMMES
Please fill out this form in block letters or typescript and send it to: Principal, Institute of Judicial Administration, P. O. Box 20, Lushoto, Tanzania . Applicants should pay
a non-refundable fee of fifteen thousand (T Shs.15,000) directly to the Institute’s Bank Account , NMB – LUSHOTO BRANCH A/C No. 4161100043 and attach the
Bank Pay-in- Slip to the filled in application forms as evidence of payment of application fee. Application forms that will not be accompanied by such evidence shall not
be considered. Application forms dully filled in should be returned to the Institute not later than 31st May, 2010.


Programme applied for: ……………………….……………………………. Academic year: ……………………..………..…..(e.g. 2010/11)

1.0         PERSONAL PARTICULARS:
1.1         Surname: …………………………………………………………………………………………………………………………………………………………………………..
            First Name: …………………………………………………………………………………. Middle Name: ……………………………………………………………………
            (Note: The names entered in this form must be exactly the same as those appearing on your secondary and/or high school certificates)
1.2         Sex: Male/Female       ………………………………………………………………………..1.3 Date of Birth:……………………………………………………….............
1.4         Place of Birth: ………………………………………………………………………………..1.5 Citizenship: ……………………………………………...........................
1.6         Religion: …………………………. …………………………. ………………………………1.7 Marital Status: ……………………………………………………………
1.8         Postal Address:…………………………………………………………………………………………………….......................................................................................
1.9         Telephone Number(s): ……………………………….………. e-mail: ………………………………………………………………………………………………………..
1.10        Do you have any kind of disability? Yes/No. If yes, please specify:………………………………………………………………………………………………………..
(Note: This Information is required for the Institute to arrange appropriate means of assisting you once admitted. It will in no way affect the decision to admit you)
2.0         EDUCATION BACKGROUND AND EMPLOYMENT RECORD:


2.1         Certificate of Secondary Education Examinations (CSEE)/ National Form IV/ or Equivalent (Attach a copy on the form).
                    Subject                                          Grade                                     Date                                     Index No.




Examination Authority: ………………………………………………………..……………….. Division: ……………………………………………………………………………...........
Examination Centre or School: ………………………………………………………………...Country: …………………………………………………………………………………….
                                                        IJA Application Form 2010/11                     Page 2 of 3

2.2       Advanced Certificate of Secondary Education (ACSEE)/National Form VI or equivalent (Attach a copy on the form).
Subject                                                           Grade                                     Date            Index No.




Examination Authority: ………………………………………………………..……………….. Division: ……………………………………………………………………………...........
Examination Centre or School: ………………………………………………………………...Country: …………………………………………………………………………………….


2.3       Qualifications other than ACSEE (Form VI) or its equivalent (e.g. University Degree, Diploma or Certificate etc.):……………………………………………………
          College/Institute:……………………………………………………………………………………………………………………………………………………………………
          Award: ………………………………………………………………………………. (Attach a copy on the form)………………………………………………………….....
Subject                                                           Grade                                     Date            Index No.




Examination Authority: ………………………………………………………..……………….. Division: ……………………………………………………………………………...........
Examination Centre or School: ………………………………………………………………...Country: …………………………………………………………………………………….


2.4       Post A-level Education:
          Have you attended this Institute or any other Institutions of Higher Learning before? Yes/No
          If yes, provide details in the table below.
Subject                                                           Grade                                     Date            Index No.
                                                   IJA Application Form 2010/11                      Page 3 of 3


2.5           Employment Record
              Please give details of your employment record in the table below


      S/N                             Name of Employer                                       Post Held                                   Dates




3.0           APPLICATION FEE AND SPONSORSHIP:
3.1           Indicate the applicant’s name as written in the Bank Pay-in- Slip of the non-refundable application fee:………………………….…………………..
              (Note: The original Pay-in- Slip must be attached to this form).
3.2           Give full name, address, relationship and a letter of commitment from your sponsor(s).



Full Name of Sponsor                          Postal Address                              Telephone Numbers                      Relationship




Declaration


I declare that all information given in this form is correct.
Signature of Applicant: ……………………………………………………………….……… Date: ………………………………………………………………………


(Note: The information given in this form will be used for admission purposes only. Non-disclosure of details or provision of false information to any of the
section in this form, if discovered, shall render your registration with the Institute of Judicial Administration-Lushoto cancelled).


FOR OFFICIAL USE ONLY
Application form has been received by the Admission Officer, Institute of Judicial Administration Lushoto.


Name of Officer: ……………………………………………………………………………………….………………………………………………………………………
Signature……………………………………………….………………………………………….. Date: ………………………..…………………………………………..
Decision by the Pre-Selection Committee ……………………………………………………………………………………………………………………………………
Decision by the Academic Planning, Examinations and Students’ Affairs Committee (APESAC):
……………………………………………………………………………………………………………………………………………………………………………………..
……………………………………………………………………………………………………………………………………………………………………………………..
                                 (IJA)
                 INSTITUTE OF JUDICIAL ADMINISTRATION
                               LUSHOTO




      FEE STRUCTURE FOR BOTH DIPLOMA AND CERTIFICATE IN LAW
              PROGRAMMES FOR 2010/11 ACADEMIC YEAR

A:    FEES PAYABLE DIRECTLY TO THE INSTITUTE:

1.     TUITION FEE (ANNUALLY)                             TSHS. 900,000/=
2.     REGISTRATION FEE (ONCE)                                    34,500/=
3.     EXAMINATIONS FEE (ANNUALLY)                                55,500/=
4.     CAUTION MONEY (ONCE)                                       20,000/=
5.     IDENTITY CARD (ANNUALLY)                                    5,000/=
6.     MEDICAL EXPENSES (ANNUALLY)                                50,000/=
       TOTAL                                             T SHS.1,065,000/=


NB:   Medical Expenses will only cover basic medical needs provided by the
      Institute’s Dispensary. The Institute will not be responsible for referral
      medical expenses outside the Institute‘s dispensary.

B:    ALLOWANCES PAYABLE DIRECTLY TO THE STUDENT
      (DIRECT STUDENT COSTS):

1      BOOKS AND STATIONERY ALLOWANCE                            100,000/=
       (ANNUALLY)
2      CAMPUS ACCOMMODATION (ANNUALLY)                           245,000/=
3      MEAL ALLOWANCE (ANNUALLY)                                 857,500/=
4      STUDENTS’ GOVERNMENT                                       10,000/=
       TOTAL                                                   1,212,500/=


C:    SPECIAL ALLOWANCES FOR SPECIAL REQUIREMENTS (PAYABLE DIRECTLY
      TO THE STUDENT):
1.     SPECIAL ATTIRE                                 150,000/=
2.     FIELD ATTACHMENT ALLOWANCE            (Per day ) 15,000/=
                                   IJA Application Form 2010/11   Page 5 of 3

                                               (IJA)                                                  PHOTO
                               INSTITUTE OF JUDICIAL ADMINISTRATION
                                             LUSHOTO
General line: 2640133                                                           P.O. Box 20,
Fax: 255-27-2640287                                                             Lushoto – Tanzania.
Director of Studies: 2640284
Registrar: 2640009
Bursar: 2640285
IJASO: 2640045
www.ija.ac.tz.



NB:
           (i)     The above rates for special requirements are recommended
                   minimum rates only.
           (ii)    Field attachment training is an integral part of each programme
                   conducted at the Institute. Sponsors are required to support the
                   student(s) during this period, by paying to the student(s) at least
                   the amount as per Government directives from time to time. The
                   duration of the attachment is sixty (60) days for the Diploma in Law
                   Programme and thirty (30) days for the Certificate in Law
                   Programme.


D:      GENERAL INFORMATION:
(i) An academic year has two Semesters which last for 245 days
(ii) Fees, once paid, are Not Refundable.
(iii) Direct Institute fees are to be paid in full to the Principal, IJA - LUSHOTO,
      at the commencement of the Academic Year i.e when students report
      for registration.
(iv) Fees do Not include allowances such as transport, incidental expenses,
      etc.
(v) The Institute deserves the right to change the rate of fees at any time
      during the year as deemed fit.
(vi) Students are expected to pay for their incidental expenses, for such
      things as toilet soaps, toothpaste, laundry expenses, etc. from their own
      pockets. Sponsors are also required to support students to meet these
      expenses.
(vii) Students are required to bring with them a crossed cheque (in case of
      Government Sponsored Students) Banker’s Draft or T.T made payable to
       the Institute of Judicial Administration Fees Account, NMB-Lushoto
       Branch A/C No. 4161100043
(viii) Any Private payments to students through Institute’s Account shall be
       charged 2% as Bank charges.
NB: 1.        Cash payments will not be accepted;
         2.   Money for private use or incidental expenses should never ever
              be deposited into the Institute’s bank account.

								
To top