Post Graduate Application (Admissions) forms at Makerere University

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M A K E R E R E U N I V E R S I T Y
P.O. Box 7062, Kampala, Uganda Tel: +256 – 41 - 530983
Cables:"MAKUNIKA" Fax: +256 – 41 - 533809 E-mail: mupgs@muspgs.mak.ac.ug
SCHOOL OF GRADUATE STUDIES
Website:http://www.makerere.ac.ug/graduateschool
APPLICATION FOR ADMISSION TO A GRADUATE PROGRAMME
Two copies of this form should be completed by the applicant and returned to the School of Graduate Studies, P.O. Box 7062, Kampala - Uganda.
TO BE COMPLETED BY THE APPLICANT FOR ACADEMIC YEAR…………………………………
Type or Print in Block Letters:
1. Degree/Diploma Programme applied for (e.g. MBA or PGDE)……..…………. ……….……………………………………………………..
2. *Surname …………………………………………………………………………………………….………………………………………….
3. * Other names ……………………………………………………………………………………………………………………………………
4. Gender: Male Female Marital status ………………………………..…….……………………………..
5. Citizenship …………………………………6. Date of Birth……………………..………………………………………….…………………
7. Country of permanent residence ……………………………….…………………………………….………………………………………….
8. Postal address …………………………………………………………………………………………………………………………………..
………………………………….. Tel. No. …………….. ......................................Fax No. …………………….……………………………
9. E-mail: ………………………………………………………………………………………….……………………………………….…….
* Names must be those that appear on the applicant’s academic documents
10. Secondary schools and colleges attended (Fax copies of certificates)
i) “O” Level
Name of Institution Index No. Dates of attendance
……………………………………………… ………………… ………..……………. ………… … to ……………………
ii) ”A” Level
Name of Institution Index No. Dates of attendance
…………………………….………………………………… ….………………….. ……………. to …………………….
iii) College (where applicable)
Name of Institution Index No. Dates of attendance
…………………………………………..…………………. ……..……………….. ………………to …………………...
11. First degree qualifications: (Fax copies of academic transcripts & certificates)
i) Degree or equivalent ………………………………………………………………….……………………………………………………
ii) Class/Division (where applicable) ………………………………………………………….………………………………………………
iii) Awarding University/Institution …………………………………………………………..……………………………………………….
iv) Year of completion………………………………Date of Award ………………………………………………………………………...
12. Other qualifications (indicate dates and fax copies of certificates)
………………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………..…………………………………………….
……………………………………………………………………………………………………………………………………………...
13. Research and teaching experience
…………………………………………………………………………………………………………………………………….……….
……………………………………………………………………………………………………………………………………………..
……………………………………………………………………………………………………………………………………………..
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14. Relevant publications (where applicable)
……………………………………………………………………………………………………………………………………………...
…..………………………………………………………………………………………………………………………………………….
…..………………………………………………………………………………………………………………………………………….
15. Employment record (use separate sheet if necessary)
…..…………………………………………………………………………………………………………………………………………..
…..…………………………………………………………………………………………………………………………………………..
…..…………………………………………………………………………………………………………………………………………..
16. Proposed field of study, i.e. subject area (e.g. Financial Management option)
……………….…………………………………………………………………………………………………………….………………..
…..…..……………………………………………………………………………………………………………………………………..
17. Provisional title of dissertation/thesis (where applicable)
……..……………………………………………………………………………………………………………………………………….
…….……………………………………………………………………………………………………………………………………….
…..………………………………………………………………………………………………………………………………………….
18 Have you ever attempted the programme you are applying for?
YES/NO (delete as applicable)
If Yes, give reasons for not completing ………………………………………..………………………………………………………..
……. ………………………………………………………………………………………….……………………………………………….
19. Names and addresses of three referees who are familiar with your academic ability and performance:-
i) Name …………………………………………………………………………….…………………………………….
Address …………………………………………………………………………………………………………………
ii) Name ………………………………………………………………………………………………………………….
Address ……………………………………………………………………………….………………………….…….
iii) Name …………………………………………………………………………………………………………………..
Address …………………………………………………………………………………………………………………
20.. Name and address of sponsor ……………………………………………………………………………………………………...
………………………………………………………………………………………..…………………………………………………..
21. Declaration by applicant
I declare that to the best of may knowledge, the information given above is correct
Signature of applicant ………………………………….……….. Date………………….………………….
NOTES:
1. No student is allowed to register for more than one University programme at the same time. Breach of this regulation leads to automatic cancellation of admission to the University.
2. Cases of impersonation, falsification of documents or giving false/incomplete information whenever discovered either at registration or afterwards, will lead to automatic cancellation of admission.
3. Copies (not originals) of the academic document should be attached to each Application form. The copies of or the Degree certificate(s) and Academic Transcript(s) should be certified.
4. Applicants themselves, should request their referees to submit the reports directly to the School of Graduate Studies, Makerere University. The University does not request for referees' reports on behalf of applicants.
5. For Foreign Applicants only:-
Candidates whose first language is not English or who did not go through an Education System with English as the medium of instruction, will be required to prove that they have sufficient command of the English language to cope with Graduate Studies.
N.B. please attach proof that the Application fee (USD $50)has been paid.