Kilimanjaro Christian Medical College

TUMAINI UNIVERSITY

KILIMANJARO CHRISTIAN MEDICAL COLLEGE

All correspondences should be P. O. Box 2240, MOSHI, Tanzania

Addressed to the Provost Telephone 255-27-2754377/ 83 Ext 157

Fax: 255-27-2754381

Email :

Our Ref.: KCMC/DP/S.9

Date: 14 November 2003

Dear,

Re: APPLICATION FOR ADMISSION

Thank you for your application letter dated ……………………regarding admission into …………………………………………………….Programme for academic year 2003/2004.

Enclosed please find the Fee schedule and application form for you to fill in and return before______.

Please attach your form with:

(i) Non-refundable application fee of Tshs. 20,000/= or its equivalent by using any of the following methods:

a) Cash: These must be made in person to the Bursar KCM College. Be sure to retain your receipt of which the photocopy must accompany the application form.

b) Bank telephone Transfers or wire transfers: by using the following Account:

Account name: Kilimanjaro Christian Medical College

Account No. - 017 101 001 339 - Local Account

Account No. - 017 105 000 676 - Foreign Account

NBC (1997) LTD KIBO BRANCH MOSHI

The copy of paying slip should be remitted together with application form.

(ii) Your current curriculum vitae

(iii) Copies of your certificate and academic transcripts

(iv) Three names of your referees and confirmation of sponsor

(v) Possible recommendation letters from your referees.

(vi) Letter from your employer releasing you for studies

I am looking towards your being admitted in our College.

Yours sincerely,

For: PROVOST

Encl. - Fee schedule

Application form

TUMAINI UNIVERSITY

KILIMANJARO CHRISTIAN MEDICAL COLLEGE

APPLICATION FOR ADMISSION TO POSTGRADUATE DEGREE PROGRAMMES

Attach 1 certified passport

size Photograph here

name clearly printed

on the back of the

photograph

A:GENERAL INSTRUCTIONS:

1. All applications for postgraduate training at Kilimanjaro Christian Medical College should be submitted to the director, Postgraduate Studies and Research.

2. Application Fee: All applicants are required to pay a non-refundable application fee as shown in the enclosed Schedule.

3. State degree course and department you are applying for

(a) (i) Master’s degree in ------

(ii) Department ------

(b) (i) Doctor of Philosophy (Ph.D)

(ii) Title of Research Topic :-

------

4. Indicate whether you are applying to do Master’s Degree Programme by (a) Course work and dissertation; or (b) by thesis only:

(i) Course work and Dissertation

(ii) Thesis

Tick whichever is applicable

B.PERSONAL PARTICULARS

(i)Surname (Block letters) ------

(ii) First Name in Full (Block letters) ------

(iii) Middle names in full (Block letters) ------

Note:The names in which you’ll be registered are those which appear in your certificates of official documents such as Passport.

(iv) Date of Birth ------Sex (M or F) ------

(v) Place of Birth (Town)------

(vi) Religion ------

(vii) Married or Single------

(viii) Citizenship ------

(ix) Country of Residence ------District ------

(x) Current Address to which information should be mailed to you:

(xi) ------

(xii) ------

C.ACADEMIC QUALIFICATIONS :

(i)First Degree/Diploma ------Awarding University/College ------

Year of Award ------

(ii)Second and Third Degree/Diploma (Fill in as above)

------

(iii)Professional Awards :

(a) Award ------

(b) Awarding Institution ------

(d) Year of Award ------

D.PROFESSIONAL/WORKING EXPERIENCE:

(i)Current employment and position held ------

------

(ii)Previous employment and position held ------

------

E.FINANCIAL SPONSORSHIP (FOR COLLEGE FEES)

Give full name and address ------

F.CURRICULUM VITAE AND REFEREES

Enclose your curriculum vitae and give three names of Referees.

Statement by Applicant

I have acquainted myself with the instructions for admission to the Kilimanjaro Christian Medical College of Tumaini University and certify that to the best of my knowledge the information given above is correct.

Date ------Signature of Applicant ------