Application for Admission to Degree Courses Offered by the HKMU
Note: Two copies of this form must be sent to the Chief Academic Officer HKMU PO Box 65300, Dar es Salaam, by 31st May of the year which admission is sought.
Application for Admission to a Degree Course in the Year __________________(state year)
Telephone Number
11. a) Certificate of Secondary Education Examination (C.S.E.E)/National Form 4 or Equivalent
b) Advanced Certificate of Secondary Education Examination (A.C.S.E.E.)/ National Form VI or equivalent.
* It is most important that index number be given.
12.Give details of any qualifications other than A.C.S.E.E. Form 6 or equivalent, e.g. University Degree, Diploma or Certificate etc.
**13. Post A-Level Education Have you attended any university/ College or other Institutions of Higher Learning before? Yes / No ____________ If Yes Discontinued/ Absconded / Graduated__________________________________ Name of Institute / College
14. Employment Record
15. Indicate the number of receipts; crosses Postal/Money Order you enclosed with this form being application fees ____________________ (NB. Original receipts must be attached with this form). 16. Do you have any physical or communication disabilities (Tick/ whichever is applicable)
a. Vision/Mobility/Speech/Hearing/Others b. If any of the above give details of disability ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________
(NB. This information is prepared by the University to receive you and it will not mitigate against your admission.)
17. Give full name and address as well as guarantee letter from financial sponsor of your University fees and other expenses:
____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ ____________________________________________________________________ * Copies of 'O' & 'A' Level / Diploma must be attached. **Non-disclosure of details if discovered shall render your registration with HKMU cancelled.
* Copies of 'O' & 'A' Level / Diploma must be attached. **Non-disclosure of details if discovered shall render your registration with HKMU cancelled.
Declaration: I declare that all information given on this form is correct
Signature of applicants ___________________________
Date _____________________
Note: Your application forms will not be processed if you have not enclosed Tsh. 12,000 or US$. 20.
