Application- Executive Track

7/27/2019 Application- Executive Track

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MUHIMBILI UNIVERSIW OF HEALTH AND ALLIEDSCIENCESOFFICE OF THE DEPUTY VICE.CHANCELLOR,ACA D EMIC, RESEARC H AN D CONS A LTA NCY

P.O. BOX 6500tDAR ES SALA/1MTANZANI,lTelcfox: +255 022 - 2150465

T el: +255 022 2150302/6 Ext. 1236Ditect Line: +255 022 2150473We bs i le : h t Ip. rttriw, mu It as. ac.tz

E- n s i I : d!S!l!9@!h!!4!!E

Ref. No. MU.02l0050/VOL. lll59 Dote: 8th October. 20,|3DIPTOMA EXECUTIVE TRACK PROGRAMMESE: INVITATION FOR APPIICAIION INIO

Applicotions ore invited inf o Diplomo ond Advonced Diplomo progrommes fromMuhimbili Universily of Heolth ond Allied Sciences (MUHAS) into the following execuliverrqcK progrommes.l. Diplomo in Phormoceuticol Sciences (DPS)-Executive Trock2. Diplomo in Diognoslic Rodiogrophy (DDR) - Execulive Trock3. Diplomo in Nursing (DN) - Executive Trock4. Diplomo in Medicol Loborolory Sciences (DMLS) - Execulive Trock5. Diplomo in Environmenlol Heollh Sciences {DEHS) - Execulive TrockN.B for DEHS progromme it is for (Muhlmbili Compus, Tongo Compus ondMpwopwo Compus)

Duly filled opplicotion forms should be honded in lo the odmissions office, MuhimbiliUniversily of Heolth ond Allied Sciences. The deodline for submission of opplicolionforms is 4:00pm on Thursdoy,3l'r October,20l3. Applicotion forms received thereofter(whelher submitted in person or otherwise) sholl nol be processed.

l'. a rcrilcri,n.l C.ix s!lr't:rc! )I ci i'l::,1:ii :rlProi.o. Ngossopo P .. ic; 55501Ag; Deputy Vice Choncellor - AnC " l4cc: Vice Choncellor, MUHAScc: Deputy Vice Choncellor - PFA, MUHAScc: Direclor, Undergroduofe Educolion, MUHAScc: Direcfor. IAHS. MUHAScc: Bursor, MUHAScc: All Nolice Boords


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For Offial tbe Only

MUHIMBII.I UNIVERSIIY OF HEATTH AND AI.LIED SCIENCESAPPI.ICATION FORM FOR ADMISSION TO ORDINARY DIPI.OMA AND ADVANCED DIPTOMA PROGRAMMES FOR

THE ACADEMIC YEAR 20I3/20I4EVENING OR EXECUTIVE TRACKThree filled copies of ihis form iogether with copies of school cerlificotes be sent lo: Director, UndergroduoteEducoiion/Admissions Office, P.O. Box 65001, Dor es Soloom, Tonzonio: d!gg!4ghq!4Llz

(Pleose reod corefully the lnsttuclions to Appriconls oltochect belote filling ln lhis opplicollon fotm)CHOICE OF PROGRAMMES IN DESCENDING ORDER OF PREFERENCE

the ioble below, enter the progrommes you would like lo study order of preference. Deioils of Tneore oiven in lhe lnstruclions to onts.

PERSONAT PARTICUI,ARSFirst Nome: Middle Nomes:{Nofe: Ihe nomes entered in this form must be exoctly the some os those oppeonng on yourA.C.S.E.E.-Form Vl or other cerificofes lo be used for odmission.lSex: Mole [ ] Femole I l

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I .3 Dote ot Birih:I .5 Citizenship:1.7 Moritol Siolus:...................

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Exominotion Auihority ......,............,... Divlsion:

Moiling Address: P.O. Box..............Do you hove ony kind of disobility? Yes: I l(Noter Ihis /nformofion is requied in otder for lhe Universily to aronge appropriole meons of ossisling you onceodmitted. lt will in no woy offect lhe decision fo odmit yau)EDUCATION BACKGROUND AND EMPLOYMENT RECORDcertificote of Form lV

Exominotion Cenlre or School:

Exominoiion AuthorityExominotion Centre or School:Address of the School you ottended losl: Tel.

Division:Country:

tull Nome of Progromme

Poslol Address.........


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2.3 Quolificolions olher thon A.C.S.E.E,Ceriificote elc.):... (Form Vl) or its equivolent (e.9. University Degree, Diplomo orcollege/lnstitule:

Subjecf Grode Yeor lndex No Subiect Grode Yeor lndex No

Exominolion AuthoriiyExominotion Centre or School: Divislon: ....................,..........-Couniry: ..................2.4 Posl A-level EducollonHove you oltended ihis University/College or ony olher Instiiulions of Higher Leorning before?Yes: [] No: [ ] lf yes, provide deloils in lhe toble below.

Address of lhe School you ottended losi: Tel. No:......... ........emoi| oddress...............................2.5 Employmenf RecordPleose give deloils of your employmenl record in ihe toble below.s/N Nome of Employer Posl Held Doles

lndicole ihe oddress of your lost employer: poslol oddress......o.u3.13.23.3

APPI.ICATION FEE AND SPONSORSHIP:Indicote the receipl number or crossed Posiol/Money Order number otloched lo lhis form being o nonrefundoble Admission fee ...-...............,..... fNofe: oflgrno/ recer'pfs must be ottoched to this formi.Indicoie the type of sponsorship for your sludies fpieose tick oneJ;Governmenl of Tonzonio I I privole I l nlhar /s^A^if\,\lf you ore nol seeking sponsorship from lhe Government of Tonzonio, give 'lhe full nome, ocaress.ond o of

DeclorollonI declore thot oll lnformoiion given in ihis form is conecl.Signoiure of Appljcont: .. Dote:(Nafe: The infotmafion given in this lorm will be used fot odmissjon purposes oniy. Non_djsc/osure ol detoi/s or provision of folseinformolian lo any of lhe seclions in lhis form if discoveted sholl render your registrotion wilh lhe Muhimbili lJn;iversity concelled.l

FOR OFFICIAI USE ONtYApplicotion form hos been received by the Admissions Officer, Muhimbili Universi'ty of Heollh ond Allied Sciences.Nome of Officer: .......Signoiure Dote: ..................Decision by the SENATE: .................

s/N Insfilullon Atlended Slolus (Groduoled/disconllnued/Absconded) lf groduoled giveouollficolion ollolned Dole Obloined


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MUHIMBITI UNIVERSITY OF HEATTH AND AILIED SCIENCESAdmissions Office, P.O. Box 65001, Dor es Sqlqom, Tonzoniq

Insirucfions lo oppliconls seeking odmission lo Ordinory Diplomo in Evening orExecufive TrockAppliconts ore required to reod ihese instructions corefully before filling in theopplicoiion forms. Incorreclly filled or incomplete opplicotion forms will noi beprocessed.

APPLICATION FEESSubmission of duly filled opplicotion forms should be occomponied wiihpoyment of non-refundoble Applicotion fee. The opplicotion fee forTonzonions is TShs. 20,000/= ond for non-Tonzonions is USD 30. All poymentsshould be deoosiied into the MUHIMBILI UNIVERSITY OF HEALTH AND ALLIEDsctENcEs, NAT|oNAL MTCROFTNANCE BANK OF TANZANTA L|MTTED (NMB)ACCOUNT NUMBER 2091100002 (MUHIMBILI BRANCH). Remember lo use lheoppliconf's nqme ond moke sure thol you otioch fo your opplicolion forms ocopy of our receipl which you will obfoin ol our Bursor's office ofterpresenlolion io him the originol poy-in slip of lhe opplicoflon fee. Appliconisore odvised io keep o copy of the receipf ond poy-in slip for fulure usewhenever required.ORDINARY DIPLOMA PROGRAMMESThe progromme offered by MUHAS under Ordinory Diplomo Executive Trockinclud es;r. DrProMA tN MED|CAI LABORATORY SCTENCES (3 YEARS)2. DIPLOMA IN ENVIRONMENTAL HEATTH SCIENCES (3 YEARS)3. DIPLOMA IN DIAGNOSTIC RADIOGRAPHY (3 YEARS)4. DTPLOMA rN PHARMACEUTTCAL SCTENCES (3 YEARS)5. DTPLOMA rN NURSTNG (3 YEARS)SUBMISSION OF APPTICATION FORMSDuly filled opplicotion forms should be honded in 1o the Admissions Office,Muhimbili University. Applicotion forms moy olso be posted to:Director, Undergroduote Educotion,Admissions Officer,P.O. Box 65001,Dor es Soloqm, Tonzonio.

The deodline for submission of duly filled opplicoiion forms is 4 o.m. onThursdov 31st Oclober. 2013. Applicotion forms received ihereofter (whethersubmitted in person or oiherwise) sholl not be processed.

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4.0 WARNINGIt should be noled thot it is on offence lo submif folse informotion whenopplying for odmission. Appliconls who will be discovered fo hqve submitledforged cerlificoles or ony other such informolion will nol be considered ondoppropriole legol oction will be loken ogoinst them. Bonofide Universilysfudenls ore coulioned nol lo ottempf opplying for odmission. lf such sludenlssubmil lheir opplicolions then fhey will be lioble lo de-registrolion from sfudies.Likewise, former sludenls who hove oheody groduoled connol be odmitted osundergroduole sludenfs under Government loon sponsorship.FINAL CHECKTIST OF APPTICATION FOR ADMISSIONSince incompleie opplicotion forms will not be processed, it is importont thotthe opplicont checks whether three sels of qpplicofion forms qre mode ond ollthe items indicoted below ore included in her/his opplicotion submission.

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(ii)(iii)(iv)(v)(vi)

Four stomp size block ond white photogrophs with opplicont's nomewriiten of the bockThree copies of certificoies ond/or resuli slips for O-Level or equivolentThree copies of certificotes ond/or resuli slips for A-Level or equivolentThree copies of Birth Certificote ond/or AffidoviiThe originol bonk poy-in slip for the poyment of the non-refundobleA nnlir-niinn faacA letter of commitment from yourcommitmeni on poying the required feesthe University

sponsors indicoting his/herond other relqted oovment to

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N.B Accommodofion focililies will not be provided fo oll Executive trockprogromme. The successfully selecled condidotes will hove lo moke lheir ownoccommodolion orrongemenls.Finonciol Requiremenls:I. FEES FOR TANZANIAN STUDENTS.o) Ordinory Diplomo (EXCUTIVE PROGRAMME)

s/N llems AmounlHosfels/Boording Doy Plivote (Hostel)Meols Z50Ol=*oerdov2. Tuilion Fees L200.000 L200.000 L200.0003. ldeniitv Cord 5.000 5.000 5.000I Sporls I 0.000 10.000 r 0.0005. Coulion Money t 0.000 r0,000 t0.0006. Accomodolion Fees 2500/=.*oerdov7. Medicol Exoenses


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8. Reoistrotion Fees 5.000 s.000 5.0009. Exominoiion Fees 30.000 40.000 70.00010. Studenl Oroonisotion 2,000*. 2,000-.Field Troininq/Reseorch 100.000 100,000 t 00.000Tolol* r.362.000 1.372.000 1.402.000Totol*'

Note: Meols ond Accomodotion hove nol been included in the lolol fees. The studeni will berequired io poy such fees os needed.* This omount is poyoble to to the studenl who will need Inslitulion meols orrongemenl'* This omount is povoble to the student who will need Inslilulionol occomodolionoffongement*** First yeor sfudents only. Field Troining/Reseorch - Retoined by siudent for field/reseorch troiningTofol* - This omount is poyoble to non - Notionol Heollh Insuronce Fund {NIHF)BeneficioriesTofol'* - This omounl is poyoble 10 condidotes who ore(NIHF)Beneficiories2. RESPECTIVE FEES FOR FOREIGN STUDENTS

s/N ITEMS CERTIFICAIECOURSES DIPTOMACOURSES ADVANCEDDIPIOMACOURSESuss us$ uss

Tuition Fees 950.00 1.250.00 r,800.002. Registrolion Fees (Firsl Yeorontvt s0.00 50.00 50.003. Exominotions Fees 100.00 I 00.00 ts0.00I Meols /00.00 700.00 700.005. Accommodotlon fees 270.00 270.0O 270.006. Medicol Expenses7. Coulion money 20.00 20.00 20.008. Field work/Reseorch r 00.00 200.00 500.009. ldentity Cord s.00 5.00 5.00t0. Studenl Orqonisolion r0.00- 10.00- I 0.00*

TOTAL 2205.00 2605.00 3505.00The coution money is not refundoble ot lhe end of your course.Money is poyoble lo lhe inslilution where the student is.* Firsf yeor students only..- Finol yeor students only.Sponsors 10 provide field ollowonce to lheir sponsees.REGUTATION FOR PAYMENTS:You con poy the whole fees or holf of the fees of the beginning of the firsi ierm ondthe remoining fees con be poid of the beginning of the second term of studies. {Anystudeni who foils to poy ihe cost shoring money within o period of o month time willbe sent home).Ensure thot you obtoin on officiol receipt for poyments mode io the Centre/School.Non-Tonzonions students con poy Tonzonion money equivolenl to ihe forex omounthe/she is supposed to poy.

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4. When ol the University you should obey the lowful inslructions of oli the leoders in thetroining instituiion of the University ond lhe country.5. You hove to moke orrongemenls of your own troveling expenses io ond from iheUniversiiy for oll the yeors of your studies.6. Sludents ore expected to hove odequole pocket money for esseniiol expenses.7. All in-service foreign ond privote sludents ore odvised io come/use their Heolthlnsuronce cords for treotment when they ore of ihe Instiiution.N.B: lt should be noted thqt, occommodotion ond hostel focilities is not gronted toEvening students bui il moy be provided on request ond bosed on theovoilo bilily.C: For your regisirotion you should orronge to see the Director, Institute of Allied

Heolth Sciences on 7th Oclober, 2013 ond 2'lst Oclober, 2013 wilh this letter,your originol certificoies, medicql certificotes ond four poss-port sizephotogrophs (block ond white).D: Ensure thot you inform your sponsor obout ihis offer ond thot you come withlhe required fees or the some is poid to the Institute or respecfive School inodvo nce.Pleose note thoi you will not be odmitted if you ore noi in the School by2lst Oclober, 20]3E: For those who will be odmitted to the Muhimbili Compus they should deposiltheir fees to lhe following Bonk Account: DIRECTOR - INSTITUTE OF ALLIEDHEALTH SCIENCES, NMB - MUHIMBILI BRANCH A/C 2O9O11OOO16


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MUHTMBTLT UNTVERSTTY OF HEATTH AND ALUED SCTENCES (MUHAS)

INVITATION FOR ADMISSION INTO DIPLOMA AND ADVANCED DIPTOMA EXECUTIVEPROGRAMMES FOR THE ACADEMIC YEAR 2013/20I4

Applicotions ore invited from quolified condidotes who completed form four or formsix or condidotes wiih equivolent quolificotions wishing to pursue the followingExeculive Diplomo or Advonced Diplomo progrommes of the Muhimbili University ofHeolth ond Allied Sciences for ihe ocodemic yeor 2013/20141.0 DtPtoMA rN MED|CAT LABORATORY SCTENCES-EXECUTTVE PROGRAMME (3

YEARS)i) Dhecl EntryCredits in Biology ond Chemistry ond one in either physics orMothemotics ot 'O' level.ii) Equivalenf QuoftTicofionsLoborotory Assistont with three yeors experience who hos possed the

selection exominotion recognized by the University ond musl hove ,O'level secondory school certificote.2.0 DIPLOMA IN ENVIRONMENTAT HEATTH SCIENCES. EXECUTIVE PROGRAMME (3YEARS)

i) Direct EnlryPoss in English ond three credit posses, one in Moihemotics ond twoother out of Physics, Chemistry ond Biology ot ,O' level.ii) Equivolenl QuolifcofionsHeolth Assistont with three yeors experience who hqs possed theselection exominotion recognized by the University ond must hove ,O'level secondory school cerlificole.

3.0 DIPTOMA IN DTAGNOSTIC RADIOGRAPHY. EXECUTIVE PROGRAMME (3 YEARS)i) Direct EntryC grode or higher posses in three oul of physics, Chemistry, Biology ondMothemotics ond of leost D grode poss in English. physics is o mojorsubject.


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ii) Equivolenl QuolificofionsRodiogropher Assislont with three yeors experience who hos possed theselection exominotion recognized by the Universiiy ond must hove'O'-level secondorv school certificote.4.0 DIPLOMA IN PHARMACEUTICAT SCIENCES EXECUTIVE PROGRAMME (3 YEARS)

i) Direct EntryThree credit posses which must include Moths, Chemistry ond Englishwith o poss in Biology ond Physics.ii) Equivolenf QuolificofionsPhormoceulicol Assistont with three yeors experience who hos possedthe seleciion exominotion recognized by the University ond must hove'O' level secondory school certificoie.5.0 DIPTOMA IN NURSING EXECUTIVE PROGRAMME (3 YEARS)Enfry Requiremenlsi. Condidotes must hove compleled O-level educqtion with o credit inBiology ond two posses in Chemistry ond Mothemotics or Physics.ii. Condidotes musl hove completed secondory school educotion withinthree yeors from ihe yeor of opplicotion.Appliconis should oblqin opplicotion forms from the Admissions Office,Multipurpose Loboroiory Building, First floor, Room No. 25, MUHAS Website:www.muhos.oc.tz, Muhimbili University of Heolth ond Allied Sciences orthrough the following oddress:Director, Undergroduote Educotion,Muhimbili University of Heolth ond Allied Sciences,P.O. Box 6500.].Dqr es Soloom, Tonzonio.Deodline for submission of duly filled in opplicotion forms is siricfly ot 4:00pm onThursdoy, 3lst Oclober. 2013.

Application- Executive Track

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