AppFormBachelor 17 18 .pdf

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MBEYA UNIVERSITY OF SCIENCE AND TECHNOLOGY
(OFFICE OF THE DEPUTY VICE CHANCELLOR ACADEMIC, RESEARCH AND CONSULTANCY)
Telephone: 2503016/7 or 2502861.
Fax:
2502302/0736608528
E-mail: mustnet@must.ac.tz
vc@mustnet.ac.tz
website: www.mustnet.ac.tz

ONE
PHOTO

July 10, 17

APPLICATION FORM FOR ADMISSION INTO BACHELOR DEGREE COURSES OFFERED BY MBEYA
UNIVERSITY OF SCIENCE AND TECHNOLOGY (MUST) FOR THE ACADEMIC YEAR 2017/2018
CHOICE OF DEGREE PROGRAMMES
Please choose up to maximum of three (3) programmes by indicating your choice of preference (1, 2 and 3) in the
check boxes provided.
Table 1: Bachelor Degree Programmes offered by Mbeya University of Science and Technology (MUST)
S/N

PROGRAMME

i

Technology in Architecture

ii

Civil engineering

iii

Computer Engineering

iv

Electrical and Electronic Engineering

v

Mechanical Engineering

vi

Business Administration

MODE OF DELIVERY

CHOICE

(i) Full Time Program
(ii) Evening Program
(i) Full Time Program
(ii) Evening Program
(i) Full Time Program
(ii) Evening Program
(i) Full Time Program
(ii) Evening Program
(i) Full Time Program
(ii) Evening Program
(i) Full Time Program
(ii) Evening Program

1. PERSONAL PARTICULARS
(i)

NAMES

……………………………………………….…………………………………………………………………

Male

Female

Note: The names entered in this form must be the same as those appearing in the relevant
certificates, i.e. CSEE, ACSEE, FTC, OD, etc.
(ii) Form IV Index Number…………………………………………Form VI Index Number………………………………….
(iii) Date of birth………………………….. Citizenship………………………..…… Marital status…………………………..
(iv) Contact Address ………………………………………...........................................................................................
(v)

Mobile Phone No; ……………………………………….…Email………………………………..…………………………..

2. EDUCATION BACKGROUND
(a) Certificate of Secondary Education Examination (C.S.E.E)/National Form IV/GCE or Equivalent.
SUBJECT

GRADE

YEAR

INDEX No

SUBJECT

GRADE

YEAR

INDEX No

Examination Authority (e.g.NECTA) …………………………… Division/Grade...…………………………………….
Examination/Centre/School………………………………………..…………… Country……………….…………...……
(b) Full Technician Certificate (FTC) OR Ordinary Diploma (OD), Form Six-ACSEE (Give details of any
other qualifications, certificate, etc.)
SUBJECT

GRADE

YEAR

INDEX No

SUBJECT

GRADE

YEAR

INDEX No

Examination Authority (e.g. NECTA)…………………………………………Division/Grade.……………….………….
Examination Centre/School………………………………………………………….Country ……………..………………..
(c) Qualifications other than FTC or OD, Form Six-ACSEE, Certificate, etc)
SUBJECT

GRADE

YEAR

INDEX No

SUBJECT

GRADE

YEAR

INDEX No

Examination Authority (e.g.NECTA)………………………………………Division/Grade.…………………………..….
Examination Centre/School…………………………………………………Country …………………...…………………..
3. EMPLOYMENT RECORD (If Any)
EMPLOYER

POST HELD

YEAR

4. SPECIAL NEEDS
Do you have any physical or communication disabilities? YES/NO. If YES, tick whichever is applicable
a.

Vision

Mobility

Speech

Hearing

b.

If case of any disability Indicated in 3(a), provide details

Others

…………………………………………………………………………………………………………………………………

5. SPONSORSHIP: (i) Name of Sponsor:……………………………………………………………………………………..……
(ii) Contact Address:……………………………………………………………………………………..…
(iii) Mobile No:…………………………………………………………………………………………………
(iv) Email address:……………………………………………………………………………….…………….
1. DECLARATION
I declare that information given in this form is correct;
Signature of applicant: ……………………………………………………..…Date: ……………………………………………………
Note:
(i)

Your application forms will not be processed if you have not enclosed the receipt payment of
application fee of Tshs. 30,000/= payable through NMB bank A/C No;61001100022 (Account
name; Mbeya University of Science and Technology)

(ii)

Relevant documents to be attached; Birth certificate and certified copies of ‘O’ Level and other
certificates indicating your qualifications.

(iii)

Non disclosure of details if discovered shall lead to de-registration.

2. APPLICATIONS AND ALL ENQUIRIES SHOULD BE ADDRESSED TO:
Vice Chancellor,
Mbeya University of Science and Technology (MUST),
P. O. Box 131, Mbeya,
Tanzania.
Tel: +255 (0)25 2503451/ 2502861/2503016/7 or +255252562033
Fax:+255 (0)25 2502302
Email: vc@mustnet.ac.tz or must@mstnet.ac.tz
Website: www.mustnet.ac.tz
The closing date for receiving Application Forms is 13rd, August, 2017


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