Postgraduate Diploma in Entrepreneurship and Enterprise Development (PGDEED)

Two Passport Size Photographs

Biographical Information
Surname/Family Name / Other Name(s)
Title (Mr/Mrs/Miss/Ms) /
Date of Birth
/ Country of Birth / Nationality / Disabilities/Special needs
Yes
No
Permanent Address / Nature of Disability /special need (if any)
Telephone Number
·  Landline
·  Mobile / Fax Number / Email Address
Employment Record
Institution (Current Employer) /
Position
/ From: / To:
Nature of Work (responsibilities)
Self-employment Record
Name of the firm /
Position
/ Year started
Nature of activities
Academic Information
Highest Academic Qualifications attained / Institution / Year of Graduation
Specialisation
/ Undergraduate/Advanced Diploma GPA
Other Academic or Professional Qualifications
Programme applied for:

Postgraduate Diploma in Entrepreneurship and Enterprise Development (PGDEED)

Referees / Please give the names and addresses of two persons who are acquainted with your academic or professional work and enclose their letters of recommendation with this application confirming you have done so by ticking the appropriate boxes.
Name
Recommendation enclosed /
Address
Recommendation enclosed
Name
Recommendation enclosed /
Address
Recommendation enclosed
Financial Support
How do you intend to finance your studies?
Self
/ Employer
/ Other

Name and Address of your Financial Sponsor (if applicable) /
Name
/ Address
Additional Information / How did you find out about the Post Graduate Diploma in ICT policy and Regulation at the University of Dar es Salaam? Please tick all that applies.

Prospectus Education/Trade fair World Wide Web
Advert in Newspaper/Journal University/College Careers Service Personal Recommendation
Other (please specify) ......
*please specify publication where possible ......
Declaration / I certify that the information given in this application and in the supporting documents is accurate and complete. I understand that the submission of inaccurate information may be sufficient cause for refusal of admission or termination of registration.
Signature
/ Date
Applicant / Please complete this section. Give this form to the person who will act as your referee. Return your application form with a sealed letter of recommendation.
Surname/Family Name
/ Other Name(s)
Applicant’s Signature
/ Date
Programme applied for:

Postgraduate Diploma in Entrepreneurship and Enterprise Development (PGDEED)

Referee / To enable us assess the candidate’s suitability for the Programme, kindly evaluate the candidate in the areas indicated in the table below (Tick the appropriate cell). Indicate the applicant’s qualifications and potential to undertake advanced study/research. Describe the applicant’s motivation and intellect and Indicate both strong and weak points. Please write frankly. If the applicant’s first language is not English, please comment on his/her ability to read, write and speak English.
How long have you known the Applicant?
In what capacity?
Excellent / Good / Average / Poor / Very Poor
Intellectual ability
Capacity for original thinking
Maturity
Motivation for postgraduate studies
English Language
Proficiency
/ Written:
Oral:
Ability to work with others
Referee (cont’d)
Other capabilities/talents worth mentioning:
What do you consider to be the Applicant’s weaknesses?
Has the applicant pursued any similar degree/postgraduate Programme you are aware of? If Yes, please describe.
Give any other additional comments that you consider relevant about the applicant
Referee’s Name and contacts
Name / Title (Dr /Prof/ Mr./ Mrs./ Miss/ Ms)
Institution / Position
Postal Address / Telephone (Landline) / Mobile
Fax / Email
Referee’s signature / Date

Applicant / Please complete this section. Give this form to the person who will act as your referee. Return your application form with a sealed letter of recommendation.
Surname/Family Name
/ Other Name(s)
Applicant’s Signature
/ Date
Programme applied for:

Postgraduate Diploma in Entrepreneurship and Enterprise Development (PGDEED)

Referee / To enable us assess the candidate’s suitability for the Programme, kindly evaluate the candidate in the areas indicated in the table below (Tick the appropriate cell). Indicate the applicant’s qualifications and potential to undertake advanced study/research. Describe the applicant’s motivation and intellect and Indicate both strong and weak points. Please write frankly. If the applicant’s first language is not English, please comment on his/her ability to read, write and speak English.
How long have you known the Applicant?
In what capacity?
Excellent / Good / Average / Poor / Very Poor
Intellectual ability
Capacity for original thinking
Maturity
Motivation for postgraduate studies
English Language
Proficiency
/ Written:
Oral:
Ability to work with others
Referee (cont’d)
Other capabilities/talents worth mentioning:
What do you consider to be the Applicant’s weaknesses?
Has the applicant pursued any similar degree/postgraduate Programme you are aware of? If Yes, please describe.
Give any other additional comments that you consider relevant about the applicant
Referee’s Name and contacts
Name / Title (Dr /Prof/ Mr./ Mrs./ Miss/ Ms)
Institution / Position
Postal Address / Telephone (Landline) / Mobile
Fax / Email
Referee’s signature / Date

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