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					    MZUMBE UNIVERSITY
   (CHUO KIKUU MZUMBE)




APPLICATION FORM

   FOR ADMISSION TO
UNDERGRADUATE DEGREE
 PROGRAMMES FOR THE
    ACADEMIC YEAR
      2010/2011
                                 MZUMBE UNIVERSITY
                        (CHUO KIKUU MZUMBE)
E-mail: mu@mzumbe.ac.tz                                P.O.BOX 1
Tel: +255 (0) 23 2604380/1/3/4                         MZUMBE
Fax: +255 (0) 23 2604382                               MOROGORO, TANZANIA
Cell: +255 (0) 754 694029
                                                       Affix photo taken
                                                       within the Last six
                                                       months
Ref. No. ________________

       APPLICATION FOR ADMISSION TO UNDERGRADUATE DEGREE
            PROGRAMMES OFFERED BY MZUMBE UNIVERSITY

This form must be filled and returned to the Admissions Office on or before
30th April 2010

                                 (USE BLOCK LETTERS)

    1. Academic year: _________________________________________________

    2. Degree Programme in which admission is sought:
       CHOICE (1) ______________________________________________________
       CHOICE (2).______________________________________________________
       CHOICE (3) ______________________________________________________

    3. Mode of Sponsorship (Tick the appropriate box)
         i.     Loan under Higher Education Students’
                Loan Board                                        [      ]
         ii.    Private Sponsorship                               [      ]
         iii.   Others (specify) _________________________________________

    4. Applicant’s Personal Record
         i.     Surname: ______________________________________________
                Other names: ___________________________________________
                [Note: The names entered on this form must be the same as
                those on your A.C.E.E (Form VI) or equivalent]
         ii.    Sex       Male (        )             Female       (   )
         iii.   *Date of Birth: _____________________________________
         iv.    Place of Birth: _____________________________________
         v.     Citizenship: _______________________________________


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          vi.      Religion: __________________________________________
          vii.     Marital Status: ______________________________________
          viii.    Permanent Address: ____________________________________
                   _________________________________________________________
                   Tel: ____________________________________________________
          ix.      Contact       Address      (If    different    from     above):
                   ________________________________________________________
                   _________________________________________________________

                *Attach copy of birth certificate. Affidavit NOT accepted

          x.        Academic Qualifications Attained
                  (a) Certificate of Secondary Education (C.S.E.E)/National Form
                        4/ or Equivalent.

Subject   Grade        Date      Index       Subject   Grade   Date      Index
                                 No                                      No




Examinations Authority: ______________________     Division: _____________
Examination Centre/School: _________________________
Name of School: __________________________________
Country: ________________________________________


                (b) Advanced Certificate of Secondary Education (A.C.S.E)
                    /National Form VI or Equivalent
Subject   Grade   Date      Index     Subject Grade    Date      Index
                            No                                   No




Examinations Authority: __________________________Division: __________
Examination Centre/School: _________________________________________
Name of School: _____________________________________________________
Country: ____________________________________________________________




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        (c) Give details of any qualifications other than A.C.S.E (Form 6) or its
        equivalent, e.g. University Degree, Diploma or Certificate, etc.

INSTITUTIONS         SUBJECTS               AWARD             GRADE




NB.
        It is most important that index number (Where applicable) be given.
        Copies of “O” & “A” Level/Diploma must be attached.


           xi.   Employment Record (where applicable)

      JOB HELD           NAME OF                FROM                  TO
                        EMPLOYER




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5. UNDERGRADUATE           DEGREE       PROGRAMMES          OF    THE     MZUMBE
   UNIVERSITY

    Indicate in the table below, all the degree programmes for which you are
    applying. You should show your order of preference of degree programmes
    by placing a number in the appropriate spaces on the right hand side in the
    table. You should use figure 1 to indicate your first choice, 2 for your second
    choice, etc. You are advised to think very carefully before you fill in the table
    and to give full attention to your selection, bearing in mind that the
    University may not necessarily offer your first choice.

     DEGREE COURSES                                                            PREFERENCE
1    FACULTY OF PUBLIC ADMINISTRATION AND MANAGEMENT
     Bachelor of Public Administration (BPA) (Public Sector Management)
     Bachelor of Public Administration (BPA) (Human Resources Management)
     Bachelor of Public Administration (BPA) (Health Services Management)
     Bachelor of Public Administration (BPA) (Local Government Management)
     Bachelor of Public Administration (BPA) (Records Management)
2    FACULTY OF SOCIAL SCIENCES
     Bachelor of Science in Economics ( B.Sc. Eco ) (Economic Policy and
     Planning)
     Bachelor of Science in Economics ( B.Sc. Eco ) (Project Planning &
     Management)
     Bachelor of Science in Economics ( B.Sc. Eco ) (Population and
     Development)
     Bachelor of Education in Language and Education management (BELM)
     Bachelor of Education in Commerce and Accountancy (BECA)
     Bachelor of Education in Economics and Mathematics (BEEM)
3    FACULTY OF LAW
     Bachelor of Laws (LL.B)
4    FACULTY OF COMMERCE
     Bachelor of Accountancy and Finance (BAcc) (Business Accounting and
     Finance -BAF)
     Bachelor of Accountancy and Finance (BAcc) (Local Government
     Accounting and Finance - LGAF)
     Bachelor of Accountancy and Finance (BAcc) (Public Sector Accounting
     and Finance - PSAF)
     Bachelor of Business Administration (BBA) (Marketing Management)
     Full Time Main Campus
     *Bachelor of Business Administration (BBA) (Marketing Management
     (Evening Program at Mbeya Campus)
     *Bachelor of Business Administration (BBA) (Entrepreneurship and
     Development)(Evening Program at Mbeya Campus)
     Bachelor    of   Business     Administration     (BBA)  (Entrepreneurship
     Development)
     Bachelor of Business Administration (BBA) (Procurement and Logistics
     Management)
5    FACULTY OF SCIENCE AND TECHNOLOGY
     Bachelor of Science (B.Sc.) (Information & Communication Technology
     Management)
     Bachelor of Science (B.Sc.) (Applied Statistics)
     Bachelor of Science (B.Sc.) (Production & Operations Management)


                                          4
* All evening Programmes are currently run at Mbeya Campus


6. Have you applied for admission to other Institutions?
   YES [        ]            NO      [       ]
   IF YES please list names of the institutions:
   ________________________________________________________________________
   ____________________________________________________________

7. Do you have any physical or communication disabilities? (Tick whichever
   is applicable)
               (a) Vision/Mobility/Hearing/Others
               (b) If any of the above give details of disability
   ________________________________________________________________________
   ____________________________________________________________

8. Form IV applicants shall be required to sit for Mzumbe University Mature
   Age Entry Examination.

9. DECLARATION
   I declare that all information given on this form is true and correct to the
   best of my knowledge.

   SIGNATURE OF APPLICANT: _____________________________________
   Date: __________________________________


10.       EMPLOYER’S APPRAISAL (Where applicable)

                                         HIGH       NORMAL            LOW
Rating of Applicant             9         8   7   6   5  4        3    2  1
Knowledge of job being done
Knowledge           of    whole
organization
Ability to learn
Initiative to learn
Co-operation
Judgment/Common sense



11. EMPLOYER’S RECOMMENDATIONS: (Where applicable)
    ________________________________________________________________________
    ________________________________________________________________________
    ________________________________________________________________________
    ________________________________________________




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   12. EMPLOYER’S SIGNATURE
       __________________________       ______________________________
              (OFFICIAL STAMP)                       (DATE)




   13.       SPONSOR’S DECLARATION
             (To be completed by Private Sponsors)
             I hereby accept the responsibility of paying the fee and other
             charges for the applicant.
             Full Name and Address of Sponsor:
             _____________________________             Signature: _____________
             _____________________________
             _____________________________             Date: __________________


NB: Important Attachments
   i. Photostat copies of relevant academic certificates.
  ii. Photostat copy of Birth certificate
 iii. Bank Pay-in-slip of application fee
 iv.  Affixed recent photo.



Please return the complete Application Forms to:
The Admissions Office            Tel: 255-23-2604383/4
Mzumbe University                Fax: 255-23-2604382
P.O.BOX. 1                       Mobile: 0713 332614
Mzumbe                           E-mail: mu@mzumbe.ac.tz
TANZANIA




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