MUGEREZI SPATIAL TECHNOLOGY COLLEGE

Plot No. 241, Block B,Alimaua

Kijitonyama,Kinondoni,
P. O. Box 32108, Dar es Salaam, Tanzania

General Application FORM for Admission

(For non-degree and undergraduate programmers only)

Complete all sections of the form, if you need assistance in filling it, please contact:

SECTION A: GENERAL INFORMATION

1. Surname. (as on your certificate)

First Name (s). (as on your certificate)

Middle Name .............. (as on your certificate)

2. Full Mailing Address: ..

District........................................................................................

Region. Country.

3. Telephone (Residence) . Telefax..

Telephone (Work)...... Email.....

4. Gender: Male Female

5. Date of Birth

6. Marital Status: Married Single Divorce Widowed

7. Number of dependants

8. Occupation ..

9. Name and Address of employer (if any)...

10. Citizenship (a) Tanzania (b) Non-Tanzania

If you not Tanzania Citizen, and if you live in Tanzania, Please indicate
(a) Immigration document you poses (attach certified copy):
Permanent Resident
Resident Permit Class C
Student
Other Type of Permit (specify) ....

(b) Country of your Citizenship .

11. Level at which you would to enroll for:- INTAKE YEAR . ONE TWO

ICT COURSE: Basic Certificate Diploma

GEOSPATIAL COURSE: Level III Certificate

Mugerezi Spatial Technology MUST College

NACTE and VETA Course in Geospatial Technologies and ICT
Tel/Fax: +255 22 2461212; +255 713 730509, +255 753 674722
www.must.ac.tz; email: info@must.ac.tz
 MUGEREZI SPATIAL TECHNOLOGY COLLEGE
Plot No. 241, Block B,Alimaua
Kijitonyama,Kinondoni,
P. O. Box 32108, Dar es Salaam, Tanzania

12. Have you ever applied and been selected to study at MUST before? Yes No

If yes mention the programme and academic year

Programme Year

13. Have you ever been discontinued from any college? Yes No

If yes, state when and give reason (s)

14. Are you currently in a programme at another Institution? Yes No

If yes Name of the institution .

Name of the academic programme.

Qualifications expected.

Completion date ..

SECTION B: EDUCATIONAL BACKGROUND:

15. Name all secondary schools attended and the full name of the certificate(s) obtained
School Name Location & Index Year of Certificate Division
Address Number completion Awarded

16. List all post-secondary Institution and qualification you were awarded in order of attendance, if more
space is needed, you may write on a separate sheet and attach

Institution Name Institution Dates attended Award and

Location &Address Status From To Specialization
(Month/Year) (Month/Year)

Note: 1. Institution Status can be Vocational, Technical, College, University, or Other Recognized by
NACTE
2. Awarded and Specialization can, for example, be Certificate in Education, FTC, B.A, (Gen), Certificate
(Agriculture) etc

17. Employment records:

SN Name of employer Post Held Duration Remark

Mugerezi Spatial Technology MUST College

NACTE and VETA Course in Geospatial Technologies and ICT
Tel/Fax: +255 22 2461212; +255 713 730509, +255 753 674722
www.must.ac.tz; email: info@must.ac.tz
 MUGEREZI SPATIAL TECHNOLOGY COLLEGE
Plot No. 241, Block B,Alimaua
Kijitonyama,Kinondoni,
P. O. Box 32108, Dar es Salaam, Tanzania

18. Sponsor
Give full name and address of the sponsor as specified below and signed guidance/guaranteed letter from financial
sponsor for your fee and other expenses. (Note if you are applying as Government sponsored or company you have to
submit the commitment letter as well)

Type: .
Parents/Guardians/Self /Others Full Name
Address:
Organization P.O. Box District/Region
Locality:
District Regional

Contacts:
Telephone Mobile phone Email

I hereby accept the responsibility of paying the fee and other charges for the applicant.
Signature:.Date:

19. Next of Kin Information

Full Name:

State relationship:

Contacts:
Telephone Mobile phone Email

20. Declaration
I declare that all information given in this form is correct to the best of my knowledge.

SIGNATURE OF APPLICANT: ________________________________ DATE: _________________________

Mugerezi Spatial Technology MUST College

NACTE and VETA Course in Geospatial Technologies and ICT
Tel/Fax: +255 22 2461212; +255 713 730509, +255 753 674722
www.must.ac.tz; email: info@must.ac.tz
 MUGEREZI SPATIAL TECHNOLOGY COLLEGE
Plot No. 241, Block B,Alimaua
Kijitonyama,Kinondoni,
P. O. Box 32108, Dar es Salaam, Tanzania

Note: The following must be attached with this application

Certificate copies of all educational qualification
Two (2) passport size photograph with the name written at the back of each photo (no scanned photographs).

FOR OFFICIAL USE ONLY

For and on behalf of board of admission of MUST ________________________Date

Application Accepted YES NO ` 2

Signature ______________________________

Note the information given here will be used for the purpose intended as rules governing higher education intends.

Mugerezi Spatial Technology MUST College

NACTE and VETA Course in Geospatial Technologies and ICT
Tel/Fax: +255 22 2461212; +255 713 730509, +255 753 674722
www.must.ac.tz; email: info@must.ac.tz