Marian University College
(A Constituent College of St. Augustine University of Tanzania)
P.O. Box 47
BAGAMOYO
PWANI
TANZANIA
Tel. +255 232440052
Fax. + 25523 2440247
Email : [email protected]
Website: www.maruco.ac.tz
Mobile: 0765318230
Attach a
Photo
size here
APPLICATION FORM FOR ADMISSION INTO CERTIFICATE AND DIPLOMA
FOR THE ACADEMIC YEAR 2017/2018
CERTIFICATE AND DIPLOMA PROGRAMMES
Fill the form using blue or black pen in CAPITAL letters.
PERSONALINFORMATION:
Write your names as it appear First Name
in your Form IV certificate
Sex
Middle Names
Nationality
Surname
Date of Birth
Place of birth (Place,
Region)
Student Mobile:
Place of domicile (home
district)
E-mail:
Name of Secondary School attended (O-level):
Year Completed:
Division:
Form Four Index Number:
Name of Advance School attended (A-level):
Year Completed:
Form Six Index Number:
Division:
Indicate Grades score for each of the following subjects in the National Form Four and/or Form Fix
Examinations and attach copy of your academic certificate
Form Four: : Physics( ), Chemistry ( ), Biology ( ) Mathematics (
(
), History ( ), Civics ( ) Kiswahili ( ), English (
Form Six: Physics ( ), Chemistry ( ), Biology ( ), Mathematics (
English Language (
), Agriculture (
), General Studies (
), Geography (
), Economics
), Agriculture ( )
), Geography ( ), Economics (
), Basic Applied Mathematics (
Give other equivalent qualifications if any:
Declaration:
I declare that all information given in this form is correct:
Signatures of the Applicant: ……………………………….….
1
Date..................................
)
)
PROGRAMMES OFFERED BY THE UNIVERSITY COLLEGE 2017/2018
S/N PROGRAM NAME ADMISSIONREQUIREMENTS
CHOICE
1
Certificate in
 Form four (IV) with minimum of four (4) passes including
Information
science subjects and Mathematics.
Technology (IT).
(1 Year)
2
Diploma in
 Form Six (VI) with one principal pass and one subsidiary
Information
along with four passes at O-Level including science subjects
Technology (IT)
and Mathematic or Physics. OR
(2 Year)
 Certificate in Computer Science, IT or related field with pass
in Mathematic or Physics at O-Level
3
Diploma in
 Form Six (VI) with one principal pass and one subsidiary
Computer Science
along with four passes at O-Level including science subjects
(2 Year)
and Mathematic or Physics. OR
 Certificate in Computer Science, IT or related field with pass
in Mathematic or Physics
4
Ordinary Diploma in
Primary Education
(In- Service - 2 Yrs)
(Pre–Service -3 Yrs)
 Form four (IV) with at least four (4) passes including science
subjects. OR
 Certificate in Primary Education (Grade “A”) with pass level
OR
 Any other certificates from recognized institution
SPONSORSHIP: Sponsor (Self, Parents, Organization) Write the name
Full Name
Address:
Tel.:/Mobile
E-Mail.
Business/ Activity
Declaration of a Sponsor:
I .............................................. Confirm, Personal/Parent/Guardian/Organization will give full Financial
support to ...................................... during the period of his/her education at Marian University College.
Date: ...............................................
Signature: ......................................
Payments:
Submission of filled Application Form should be accompanied with payment of non-refundable
Application Fee of TShs. 30,000 paid to Account Name: Marian University College, Account
Number 0150432863700, CRDB Bank, Bagamoyo Branch.
Attachments:
Please include the following with your dully filled application form:
(1). Photocopies of your school certificates or result slip
(2). Photocopy of Birth Certificate
(3). Original of Bank Deposit Slip indicating clearly your name and course applied for study.
Kindly send the application form together with all attachments (documents) required to:
Address: Admission Office, Marian University College, P.O. Box 47, Bagamoyo, PWANI
By E-mail: [email protected]
Tel.: +255232440052 Mobile: 0765318230 E-Mail: [email protected] Website: www.maruco.ac.tz
2