SHIRIKA LA ELIMU TANZANIA – SET TANZANIA EDUCATION FOUNDATION Head office Mnazi Mmoja, CO-Architecture Building, fifth floor P.O.BOX 5664 Dar es Salaam Telephone: 022-2125272 Mobile: +255 755 974 792/ +255 789 036 345 Website: www.set.ac.tz E-mail: [email protected] / [email protected] TRAINING AND JOB LINK PROGRAM APPLICATION FORM 1. STUDENT DETAILS: First name : Second name: Surname: Date of birth: Nationality Gender: male female Marital status: single married Any disability…………………………………………………………………………………………………………. Permanent address: Physical address: Postal address: City: Mobile no.: Email address: 1|Page 2. COURSES: TICK YOUR OPTION I. II. III. IV. Special program for professionals(for those with diplomas, degrees and above) Certificate in oil and gas(form four and six leavers) Certificate in mining(form four and six leavers) Foundation course in mining, oil and gas(form four with less than three pass) 3. EDUCATION DETAILS List all academic qualifications that you have achieved “O”, “A” level grade or equivalent. Copies of all relevant final transcripts must be attached with this application. Qualification 2|Page From To Name of school/college Grade/mark 4. EMPLOYMENT DETAILS Please give details of positions held over the past 5 years Employer name Position held Address From To 5. REFERENCES Please provide the names of two referees, at least one should be an academic referee who has knowledge of your academic ability. Referee name Address Telephone no. Email add: Title 6. FINANCES Indicate how you intend to finance your studies and your living expenses in Dar es Salaam. How will you finance your studies (please tick): Family employer loan savings other Sponsor declaration I have agreed to finance the above named applicant in his/her studies and agreed to release funds for tuition fees and living expenses as and when required. 3|Page Postal address: Telephone numbers: Email address: Signed: _____________ Name: _____________ Date: _____________ 7. FEES STRUCTURE AND PAYMENT 1. Special short course for professionals (3 months) Description Amount(Tsh) Application fee 20,000 Registration fee 30,000 Tuition fee Total All fees should be paid in full. 500,000 5550,000 2. Basic Certificate in oil and gas technology Description Amount(Tsh) Application fee 20,000 Registration fee 30,000 Field practical fee 120,000 Tuition fee 950,000 Total 1,120,000 Fees should be paid in full/two installments only, First installment……………………………………… 650,000 Tsh Second installment…………………………………. 470,000 Tsh 3. Basic certificate in mining Description Amount Application fee 20,000 Registration fee 30,000 4|Page Field practical fee 120,000 Tuition fee 950,000 Total 1,120,000 Fees should be paid in full/two installments only, First installment……………………………………… 650,000 Tsh Second installment…………………………………. 470,000 Tsh 4. Foundation course in mining, oil and gas (3 months) Description Amount(Tsh) Application fee 20,000 Registration fee 30,000 Tuition fee 350,000 Total All fees should be paid in full. 400,000 Student Declaration: I am applying for admission to the specified program, I understand that the decision to offer me a place rests with the college, and the decision of the college is final. If I am offered and accept a place on the program me, I agree to abide to the rules and regulations of the College. Signed: …………………....… Name: ………………………………………………… Date: ……………….. Documents required when returning this form: 1. 3passport sizes. 2. Latest academic transcripts (mandatory) from highest qualification only. 3. Copies of academic certificates. 5|Page