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Update Postgraduate Diploma Application Form July 2021

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34 views4 pages

Update Postgraduate Diploma Application Form July 2021

Uploaded by

samson
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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OUT/DPGS-A3

THE OPEN UNIVERSITY OF TANZANIA


DIRECTORATE OF POSTGRADUATE STUDIES

P.O. Box 23409 Tel: 255-22-2666752/2668445 Ext. 2101


Fax: 255-22-2668759 Fax: 255-22-2668759,
Dar es Salaam, Tanzania, E-mail: [email protected]
http://www.out.ac.tz

APPLICATION FORM FOR ADMISSION INTO POSTGRADUATE DIPLOMA


PROGRAMMES

1. Applicants are required to submit TWO COPIES of this application form

2. Certified copies of certificates and their associated transcripts must be attached to and submitted
with the completed form. Certificates obtained from foreign Institutions must be submitted to the
Tanzania Commission for University (TCU) for verification, the same should be attached during
the application process. Any application not accompanied by these documents will neither be
processed nor acknowledged.

3. The copy of the filled in application form and the indicated attachments should be returned
directly to any nearby Open University of Tanzania regional/coordinating centre: Alternatively, the
package can be sent by mail to: Director of Postgraduate Studies, the Open University of
Tanzania, P. O. Box 23409 Dar es Salaam, TANZANIA or by Email as ONE PDF FILE to:
[email protected].

4. Applicants are required to pay an application fee of 30,000 Tanzanian Shillings for Tanzanian
citizens or 30 USD for international applicants.
 Local applicants should visit any nearest OUT regional centre to obtain a control number which
will enable them to make payments.
 International applicants should pay their fees through (the Open University of Tanzania, Forex
Account, NBC Bank, Swift Code, NLCB TZTX, Corporate Branch, Account Number,
011105000670

SECTION A: TO BE COMPLETED BY THE APPLICANT


Fill in spaces provided and tick appropriate box
1. Surname (Block Letters)
2. Other Names .
3. Present Address

4. Date of Birth
5. Country of Birth
6. Nationality
7. Citizenship
8. Telephone No E-mail
1
9. Sex: Male Female

10. Marital Status: Single Married

11. Present Employer:


12. Employed as:

13. Financial Sponsor:

14. Programmes offered under different faculties are as indicated below, please tick
appropriate box
I. FACULTY OF EDUCATION

S/N PROGRAMME
1 Postgraduate Diploma in Education (PGDE)
2 Postgraduate Diploma in Curriculum Design and Development (PGDCDD)
3 Postgraduate Diploma in Technical and Vocational Teacher Education (PG TVET)
4 (Any other)

II. FACULTY OF LAW

S/N PROGRAMME
1 Postgraduate Diploma in Law (PGDL)
2 (Any other)

III. FACULTY OF BUSINESS MANAGEMENT

S/N PROGRAMME
1. Postgraduate Diploma in Business Studies (PGDBS)
2 (Any other)

V. FACULTY OF ARTS AND SOCIAL SCIENCES

S/N PROGRAMME
1 Postgraduate Diploma in Social Work (PGDSW)
2 (Any other)
15. Indicate preferred mode of course work study:
Blended Evening Executive
16. Educational background and other professional qualifications (Start
with the most recent award)
Title of Award Specialization Name of Date Obtained GPA Duration
Institution (Years)

2
17. Form four index number (if applicable)
18. Form six index number (if applicable)
19. Professional and/or Employment Experience

Name of Organization Duration of Title or Position held Job Description


Employment

SECTION B: TO BE COMPLETE BY THE EMPLOYER AND/OR SPONSOR


(To be filled even if the employer is not sponsoring the applicant)
20. Has the applicant been confirmed in his/her employment? YES/NO
21. How long has the applicant been in service?
22. If the applicant gains admission, will you release him/her for studies? YES/NO
23. If the applicant gains admission, will you support him/her financially? YES/NO
24. Any other remarks:
25. Signature of employer/sponsor: Date:

Checklist (to be checked against by each applicant before submitting the form)
1. All personal data are filled in (postal address, email, phone number) ( )
2. Names are written as they appear in secondary education certificate ( )
3. All copies of Certified academic certificates and their associated transcripts are attached (i.e.
form 4, form 6/equivalent, BA/adv. Dip, etc.) ( )
4. Transcripts are placed next to their attendant certificates ( )
5. Attachments to the form are arranged in ascending order ( )
6. The sought programme is ticked against ( )
7. The mode of study is indicated ( )
8. A concept note is attached (for those who intend to study by thesis mode) ( )
9. The form is signed ( )
Sign here to prove that you have fulfilled the requirement of each element in this list

Date:

3
SECTION D: FOR OFFICIAL USE ONLY
(To be filled by a Postgraduate Admission Officer)
1. The form is dully filled in: YES/NO
2. The checklist is adhered by YES/NO
3. Name of a receiving officer:
4. Signature of a receiving officer: Date
5. Comments

(To be filled by a Relevant Academic Staff at the Faculty Level)


6. The applicant qualifies for admission into the programme sought: YES/NO
7. If the answer to item 6 is No, give reasons

8. Name of the academic staff in question:


9. Designation of the Academic staff in question:
10. Signature: Date

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