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MUSLIM UNIVERSITY OF MOROGORO
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OFFICE OF THE DEPUTY VICE CHANCELLOR (ACADEMIC)
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ATTACH TWO
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P.O. BOX 1031 Morogoro, Tanzania.
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PASSPORT
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Tel: +255 23 2600256; Fax: +255 23 2600286
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SIZE
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PHOTOGRAPHS
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E-mail address: mum@mum.ac.tz
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Website: www.mum.ac.tz
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APPLICATION FOR ADDMISSION TO NATIONAL TECHNICAL
AWARDS
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(NTA) PROGRAMMES (CERTIFICATE AND DIPLOMA)
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ACADEMIC YEAR 2014/2015
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NOTE: THIS FORM IS NOT SOLD
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I: PROGRAMS OFFERED AND MINIMUM
REQUIREMENT FOR EACH
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CERTIFICATE REQUIREMENT DIPLOMA REQUIREMENT
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S/N
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PROGRAMME
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Certificate & Diploma in Journalism At least Four D Passes of Form-four
including
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One Principal pass and subsidiary (Not including
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1.
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English. (Not including Religious studies)
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OR
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Religious studies)
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OR
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Holder of NTA 4 (Certificate)
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Holder of VETA Certificate Level three of the
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of related program
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related program
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2.
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Certificate & Diploma in Islamic
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At least Four D Passes of Form-four , including
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One Principal pass and subsidiary
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OR
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Holder of
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Studies
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Islamic knowledge
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OR
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Holder of VETA Certificate
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NTA 4 (Certificate) of related program
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Level three of the related program
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3.
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Certificate & Diploma in Islamic
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At least Four D Passes of Form-four, including
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One Principal pass and subsidiary (Maths or
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Banking & Finance
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either maths, bookkeeping or commerce
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OR
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Economics or Accounts
preferred)
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OR
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Holder of
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Holder of VETA Certificate Level three of the
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NTA 4 (Certificate) of related program
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related program
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4.
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Certificate & Diploma in Law and
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At least Four D Passes of Form-four
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OR
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Holder of
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One Principal pass and subsidiary
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OR
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Holder of
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Shariah
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VETA Certificate Level three of the related program
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NTA 4 (Certificate) of related program
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5
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Certificate in Medical Laboratory
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At least Four D Passes of Form-four including
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NILL
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Technology
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Biology or Chemistry
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OR
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Holder of VETA
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Certificate Level three of the related program
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6
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Certificate & Diploma in Science and
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At least Four D Passes of Form-four including
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One principal pass and subsidiary including Biology
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Laboratory Technology
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Biology or Chemistry or Physics
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OR
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Holder of
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or Chemistry
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OR
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Holder of NTA 4 (Certificate) of
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VETA Certificate Level three of the related program
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related program
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7.
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Certificate & Diploma in Procurement
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At least Four D Passes of Form-four , including
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One Principal pass and subsidiary (Maths or
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and Logistic Management
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either maths, bookkeeping or commerce
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OR
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Economics or Accounts
preferred)
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OR
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Holder of
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Holder of VETA Certificate Level three of the
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NTA 4 (Certificate) of related program
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related program
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Certificate in Information Technology At least four D Passes of Form-four ,
including
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NILL
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8.
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either maths or physics
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(Not including Religious studies)
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OR
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Holder of
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VETA Certificate Level three of the related program
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9.
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Certificate in Chinese Language At least four D Passes of Form-four
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OR
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Holder of
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NILL
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VETA Certificate Level three of the related program
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10.
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Certificate in Sign Language At least four D Passes of Form-four (Not
including
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NILL
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Islamic knowledge)
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OR
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Holder of VETA Certificate
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Level three of the related program
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II: COURSE DURATION AND TUTION FEE
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THIS FORM SHOULD BE FILLED BY CA NDIDA TES WHO MEET
THE MININUM ENTRY REQUIREMENTS FOR NTA LEVEL IV AND
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V
PROGARAMMES AS SHOWN
ABOVE. WHEN DULY
COMPLETED, THE FORM
MUST BE SENT
TO THE DEPUTY
VICE
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s t
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CHANCELLOR
(ACADEMIC), MUSLIM UNIVERSITY
OF MOROGORO, P.O.BOX
1031, MOROGORO TANZANIA,
BEFORE 31
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March, 2014.
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SUBMISSION OF APPLICA TION FORM SHOULD NOT BE
CONSTRUED AS A GUARANTEE OF ADMISSION.
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III: INDICATE WHICH NTA PROGRAMME YOU WANT
TO JOIN Eg. Diploma or Certificate of
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Level IV (Certificate)
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Level V (Diploma) (
)
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( )
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IV: PERSONAL DETAILS:
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NOTE:
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Name (first,
middle and last) as per your birth certificate
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1. Surname (Capital Letters) 2. First Name (Capital Letters) 3. Other Names (Capital Letters)
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4. Date of Birth
5. Place of Birth (Town/district & country) 6. Religion
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/ /
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7. Marital Status (tick where
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appropriate) 8. Sex (tick where appropriate) 9. Citizenship
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Married /
/Single / /Divorced /
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/
Male / / Female /
/
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10. Country of Residence 11. Telephone No: 12. Email Address:
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Mobile No:
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14. Do you have any kind of disability?
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13. Address
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Yes / / No /
/ If yes please specify
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PART V: EDUCATION BACKGROUND
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School/Centre Name
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15.1. O-LEVEL.
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15.2. Year of Completed/Country
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15.3. Subjects Taken/ Passed (Related to
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the Course)
15.4. Grade Attained (e.g. A, B, C, E, F)
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15.5. Index Examination No.
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15.10. Examination Authority
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16.1. A-LEVEL
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: (For Diploma Applicants only)
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16.2. Year of Completion
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School/Centre Name
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16.3. Index Examination No.
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15.3. Subjects Taken/ Passed (Related to
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the Course)
15.4. Grade Attained (e.g. A, B, C, E, F)
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16.7. Examination Authority
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17.1.
NTA Level
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17.3. Training Institution 17.4. Year of Completion
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17.2. Level
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17.6. Field of Study
17.7. GPA
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17.5. Registration No.
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17.8. Certificate Awarded Serial No.
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COURSE DURATION AND TUTION FEES
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22.1. LEVEL V: (Diploma)
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Tuition fee
800,000/= per year Duration Two Years
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21.1. LEVEL IV: (Certificate)
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Tuition fee 700,000/=
Duration One Year
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OTHER PAYMENT : Reg fee 30,000/= Caution
Money 20,000/= ID Card 2000/=
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VI: DECLARATION: I
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hereby certify to best of my knowledge that the
information given is
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correct
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VII: CAUTION:
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It is an offence to submit false information. Any
applicant who will be discovered to have
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submitted wrong information, forged certificates or
any other document will not be considered for admission,
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and appropriate legal action may be taken against the
applicant.
KUWEZA KUIPATA FORM HII KATIA MUUNDO WAKE ORIGINAL BOFYA HAPA CHINI
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