PostGraduate Application- Kyambogo University

APPLICATION FORM FOR ADMISSION TO POSTGRADUATE STUDIES
(i) This form should be completed in BLOCK LETTERS by the applicant and returned to the Kyambogo University Graduate School, Kyambogo University.
(ii) Please attach supporting academic documents, original copies of bank slips and original receipts (for
the application form) on to the application form.
PERSONAL DETAILS
1. Surname (indicate title Dr./Mr./Mrs./Ms/…………………………………………………………………...
2. Other names…………………………………………………………………………………………………
3. Gender: Male………….Female…………………….Marital Status………………………………………
4. Citizenship…………………………………………………………………………………………………..
5. Date of Birth………………………………………………………………………………………………...
6. Country of Permanent Residence…………………………………………………………………………...
7. Home District………………………………………………………………………………………………..
7. Postal Address………………………………………………………………………………………………
8. Tel. No…………………………. 9. Fax No………………………………………………………………..
10. E-Mail Address ………………………11.Next of kin and address………………………......................... …………………………………………………………………………………………………………………………………………………………………..
PROGRAMME OF STUDY
1. Programme applied for (full name and codes in brackets) (e.g. Master of Arts in History (MAH)………..
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2. Proposed Research field /area of study i.e. subject area (e.g. Financial Management option etc.)
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3. Have you attempted the programme you are applying for? YES/NO (delete where applicable)
If Yes, give reasons for not completing………………………………………………………………………
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EDUCATION AND QUALIFICATIONS
(Schools /colleges attended (attach copies of certificates, result slips, transcripts)
(i) “O” Level
Name of Institution Index No Year of Completion
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(ii) “A” Level
Name of Institution Index No. Year of Completion
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(iii) Diplomas, Certificates (where applicable)
Name of Institution Reg. No. Yr. of Completion Name of Programme
…….…………………………. …………… …………… ……………………………….
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(iv) First Degree qualification (attach copies of academic transcripts and certificates)
(a) Name of Degree or Equivalent…………………………………………………………………………...
(b) Class/Division (where applicable)……………………………………………………………………….
(c)Awarding University/Institution………………………………………………………………………….
(d)Year of completion………………………Date of award………………………………………………...
(v). Other Qualifications (attach copies of certificates/result slips/ transcripts)
………………………………………………………………………………………………………………
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Attach recent passport photo.
INTERNATIONAL APPLICANTS
Candidates whose first language is not English or who did not go through an Education system with English as a medium of instruction will be required to sit a proficiency examination in English language in order to cope with post graduate studies.
International Applicants from non English speaking countries will be required to present translated copies of diplomas, certificates and transcripts.
SPECIAL NEEDS
State any physical or other disabilities which may necessitate special arrangements or facilities
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RESEARCH/PUBLICATIONS
Please list any research you have carried out or academic work you have published or which is currently in the press together with names of publisher or journal which has accepted it. Enclose abstracts of these papers or articles with this application (use a separate sheet where necessary)
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EMPLOYMENT RECORD
Employment record (use separate sheet if necessary)
Name of organization Position held Period (e.g. 2003-2006)
……………………………….. …………………………….. ………………………………………. ………………………………... …………………………….. ………………………………………
FINANCIAL SUPPORT
Name and Address of sponsor………………………………………………………….……………………... ………………………………………………………………………………………...………………………
REFEREES
List names and give addresses of two Referees who are familiar with your academic ability and performance. Applicants should obtain forms of recommendation and send them to their referees. Applicants themselves should request their referees to submit the recommendations directly to the School
of Postgraduate Studies and Research Office, Kyambogo University, P.O. Box I, Kyambogo.
(i) Name of Referee………………………………………………………………………………………….
Address……………………………………………………………………………………………………..
(ii) Name of Referee ………………………………………………………………………………………….
Address…………………………………………………………………………………………………….
DECLARATION:
Declaration by the applicant
I declare that to the best of my knowledge, the information given above is correct.
Signature of applicant……………………………………… Date……………………………………………