MWENGE CATHOLIC UNIVERSITY (MWECAU)
“Lux Mundi - Light of the World”
P. O. Box 1226
Moshi - Tanzania
Tel: +255-27-2974110
Fax: +255-27-2974108
Email: [email protected]
Web-Site: www.mwecau.ac.tz
APPLICATION FORM FOR DIPLOMA AND CERTIFICATE PROGRAMMES
Please affix
one
(1)
passport size
colour
photograph
here
Please fill in all information required.
1.
Academic year for which admission is sought (e. g. 2015/2016) …………………..
2.
Tick the Programme you are applying for.
Diploma Programmes (2 Years)
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Certificate Programmes (1 Year)
Diploma in Accounting and Finance ( )
Diploma in Business Administration ( )
Diploma in Laws ( )
Diploma in Library, Records and Archives
Management ( )
Diploma in Marketing Management ( )
Diploma in Human Resource Management
( )
Diploma in Logistic and Procurement
Management ( )
Diploma in Entrepreneurship and
Microfinance ( )
Diploma in Computer Science ( )
Diploma in Computer Application and
Business Management ( )
Diploma in Information Technology ( )
Diploma in Laboratory Technology ( )
Diploma in Journalism and Media Studies
( )
Diploma of business information
technology ( )
Diploma in Social Work ( )
Diploma of Project Planning and
Management ( )
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Certificate in Accounting and Finance ( )
Certificate in Business Administration ( )
Certificate in Laws ( )
Certificate in Library Records and Archives
Management ( )
Certificate in Marketing Management ( )
Certificate in Human Resource Management
( )
Certificate in Logistic and Procurement
Management ( )
Certificate in Entrepreneurship and
Microfinance ( )
Certificate in Computer Science ( )
Certificate in Computer Application and
Business Management ( )
Certificate in Information Technology ( )
Certificate in Laboratory Technology ( )
Certificate in Journalism and Media Studies
( )
Certificate of Business Information
Technology ( )
Certificate in Social Work ( )
Certificate of Project Planning and
Management ( )
Certificate of Cultural Heritage Management
3. Personal Information (Block Letters):
Surname __________________________First Name _________________________Middle Name____________________
(Note the name entered in this form must be exactly the same as those appearing in your C. S. E. E- Form IV and A Level)
Gender: Female (
) Male( ) Date of birth__________ (attach copy of Birth Certificate) Place of Birth__________________
Nationality________________Religion ___________________________ Marital Status: Married ( )Single (
)
Permanent Address____________________________________________________________________________________
Tel. Numbers: Home ____________ Office _______________ Mobile_____________________________________________
E-mail: ____________________________________________________________________________________________
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4.
Education Background
Certificate of Secondary Education Examinations (C.S. E. E) National Form Four (IV)
Subject
Grade Date
Index No.
Subject
Grade
Date
Index No.
Examination Authority……… …………………………................ Division…………………………………………………
Examination Centre/School …………………………..............…… Country…………………………………………………
Advanced Certificate of Secondary Education (A. C. S. E. E.) National Form Six (VI)
Subject
Grade Date
Index No.
Subject
Grade
Date
Index No.
Examination Authority……… ………………………..............….. Division……………………………………………
Examination Centre/School ………………………..............…… Country …......……………………………………....
Qualifications other than (A. C.S.E. E.) National Form Six (e.g. University Degree, Diploma etc.)
College/Institution………………………………………Award.………………………………………………………………….
Subject
Grade
Date
Index No.
Subject
Grade
Date
Index No.
Examination Authority ………………………………….. Class………………………………………………………………….
Examination Centre /School……………………………… Country………………………………………………………………
5.
Application Fee
A non–refundable fee of Tshs 20,000 for nationals and for US$ 30 Non Tanzanians (enclose your Original BANK
deposit slip) payable to NBC Moshi Branch, Mwenge Catholic University, Account No. 017103005324
6. Sponsorship
Indicate the type of sponsorship for your studies
 Organization/Institution (Name)______________________________________________
 An individual____________________________________________________________
Commitment of the Sponsor (s)
I confirm that, I/my Organization will give full financial support to……………………………………………………..............
during the period of his/her studies at Mwenge Catholic University if he/she is accepted
Date…………………………….. …….Signature………………………………………………………………………................
Official Stamp
7.
Certification:
I certify that to the best of my knowledge, the information I have given above is correct and I understand that I am liable for
misrepresentation of facts on this Application Form, which may be taken as cause for expulsion or suspension from MWECAU or
even legal action, if discovered at any time.
Signature ____________________________________________ Date ____________________________________________
Send Your Completed application form to:
Admissions Office, Mwenge Catholic University, P. O. Box 1226 Moshi, Tanzania
NB: PLEASE ENCLOSE CERTIFIED PHOTOCOPIES OF ALL ACADEMIC TRANSCRIPTS.
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