- Ruaha Catholic University

RUCU/PG/1
RUAHA CATHOLIC UNIVERSITY
P. O. BOX 774 IRINGA TANZANIA
DIRECTORATE OF POSTGRADUATE STUDIES
APPLICATION FORM
A. Personal Details
Name:
____________________________________________________________________________________
Birthplace:
____________________________________________________________________________________
Nationality:
____________________________________________________________________________________
Marital status: ____________________________________________________________________________________
Home address______________________________________________________________________________________
Phone (s): _____________________________________ E-mail: _____________________________________________
B. Course applied for:
LL.M in Human Rights Law
[ ]
MAED in Curriculum & Instruction
[ ]
LL.M in Trade and Finance
[ ]
MAED in Planning & Administration
[ ]
LL.M in Finance and Banking Law
[ ]
Master of Arts-Linguistics
[ ]
MBA in Accounting & Finance
[ ]
Postgraduate Diploma in Law
[ ]
MBA in Human Resource Management
[ ]
Specialized Postgraduate Dipl. In Law
[ ]
Ph.D in Law by Thesis
[ ]
Postgraduate Diploma in Education
[ ]
Sponsorship Details
Name of sponsor:
_________________________________________________________________________________
Address of sponsor: __________________________________________________________________________________
Phone (s): ____________________________________ E-mail: ____________________________________________
C. Qualifications (Please enclose transcripts and Curriculum Vitae)
Degree/Diploma Institution
Dates of Study
Division/Grading
D. Names and Addresses of Referees (2)
Name of First Referee:
___________________________________________________________________________
Name of Second Referee: ___________________________________________________________________________
F. Check List. Please include the following with this application:
a) Two (2) passport-size colour photographs of yourself with a blue-sky background.
b) Photocopies of your certified school records and certificates.
c) Photocopy of your Birth Certificate.
d) Your BANK deposit slip showing the payment of the non-refundable application fee of Tsh 20,000 into
the University Bank Ac. No. 020-0000271 Tanzania Postal Bank, Ac. Name: Ruaha Catholic University.
Non-Tanzanians should pay Euro 22 into Bank Ac. No. 019J2071042600 held at CRDB Iringa Branch, Ac.
Name: Ruaha Catholic University.
Send your completed application form to:
The Director of Postgraduate Studies, Ruaha Catholic University, P.O. Box 774, IRINGA on or before 31st July
2015.
G. Statement of authenticity
I hereby declare that all the information supplied is true, and no attempt has been made to mislead the
University’s admissions office. Should any cheating be discovered after admission the University reserves the
right to nullify the admission.
Signature______________________________
Date____________________
RUCU/PG/1
RUAHA CATHOLIC UNIVERSITY
P. O. BOX 774 IRINGA TANZANIA
DIRECTORATE OF POSTGRADUATE STUDIES
REFEREE FORM
Each applicant is asked, after completing section A below, to hand or send a copy of this form to each of
the two persons who have agreed to act as referees.
Referee No. 1
Section A: To be completed by the candidate
Name of Candidate:
Prospective Programme
Name of Referee and
Position
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
LL.M in Human Rights Law
LL.M in Trade and Finance Law
LL.M in Finance and Banking Law
MBA in Accounting
MBA in Human Resource Management
MAED in Curriculum and Instruction
MAED in Planning and Administration
Master of Arts-Linguistics
Postgraduate Diploma in Law
Specialized Postgraduate Diploma in Law
Postgraduate Diploma in Education
Ph. D in Law by Thesis
[
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[
[
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[
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[
[
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Name: _________________________________
Address________________________________
Phone (s)_______________________________
Email: _________________________________
Position:_________________________________
Section B. To be completed by referee
The above named person is applying to undertake postgraduate studies at this University and has named you
as a referee. The University would be grateful if you would supply, in confidence, a reference that would help
us assess the candidate’s suitability for the programme. Whatever information you offer shall be treated in
strictest confidence.
How long have you known the candidate? (Tick (√) where it is appropriate)
One year
[ ]
Two years
[ ]
Three years
[ ]
More than Four years
[ ]
In what capacity have you known the candidate? (Tick (√) where it is appropriate)
Lecturer
[ ]
Head of Department
[ ]
Faculty Dean
[ ]
Professional Colleague
[ ]
Other specify
[ ]
NB:
Not to be completed by any close relative or next of kin of the applicant
RUCU/PG/2
Please evaluate the applicant with respect to each of the following attributes: Attribute
Excellent
Very
Good
Good
Average
Academic
capacity
Command of
Spoken English
English Writing
Skills
Resourcefulness
Write briefly about the candidate’s suitability for the programme
________________________________________________________________________
________________________________________________________________________
_________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
Section C: Referee’s Personal Details
Name:
________________________________________________________________
Institution/Position: _________________________________________________________
Date:
___________________________________________________________________
Address: _________________________________________________________________
Phone(s): ________________________ Email: ____________________
Signature/seal: ___________________________________________________________
Send the completed forms to:
The Director of Postgraduate Studies,
Ruaha Catholic University,
P. O. Box 774,
IRINGA.
Poor
RUCU/PG/2
RUAHA CATHOLIC UNIVERSITY
P. O. BOX 774 IRINGA TANZANIA
DIRECTORATE OF POSTGRADUATE STUDIES
REFEREE FORM
Each applicant is asked, after completing section A below, to hand or send a copy of this
form to each of the two persons who have agreed to act as referees.
Referee No. 2
Section A: To be completed by the candidate
Name of Candidate:
Prospective Programme
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
Name of Referee and
Position
LL.M in Human Rights Law
LL.M in Trade and Finance Law
LL.M in Finance and Banking Law
MBA in Accounting
MBA in Human Resource Management
MAED in Curriculum and Instruction
MAED in Planning and Administration
Master of Arts-Linguistics
Postgraduate Diploma in Law
Specialized Postgraduate Diploma in Law
Postgraduate Diploma in Education
Ph. D in Law by Thesis
[
[
[
[
[
[
[
[
[
[
[
[
]
]
]
]
]
]
]
]
]
]
]
]
Name: _________________________________
Address________________________________
Phone (s)_______________________________
Email: _________________________________
Position:_________________________________
Section B. To be completed by referee
The above named person is applying to undertake postgraduate studies at this University
and has named you as a referee. The University would be grateful if you would supply, in
confidence, a reference that would help us assess the candidate’s suitability for the
programme. Whatever information you offer shall be treated in strictest confidence.
How long have you known the candidate? (Tick (√) where it is appropriate)
One year
Two years
Three years
More than Four years
[
[
[
[
]
]
]
]
In what capacity have you known the candidate? (Tick (√) where it is appropriate)
Lecturer
[ ]
Head of Department
[ ]
Faculty Dean
[ ]
Professional Colleague
[ ]
Other specify
[ ]
NB:
Not to be completed by any close relative or next of kin of the applicant
RUCU/PG/2
Please evaluate the applicant with respect to each of the following attributes by putting a
tick (√)
Attribute
Excellent
Very
Good
Good
Average
Academic
capacity
Command of
Spoken English
English Writing
Skills
Resourcefulness
Write briefly about the candidate’s suitability for the programme
________________________________________________________________________
________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
Section C: Referee’s Personal Details
Name:
________________________________________________________________
Institution/Position: _________________________________________________________
Date:
___________________________________________________________________
Address: _________________________________________________________________
Phone(s): ________________________ Email: ____________________
Signature/seal: ___________________________________________________________
Send the completed forms to:
The Director of Postgraduate Studies,
Ruaha Catholic University,
P. O. Box 774,
IRINGA.
Poor