MAKERERE UNIVERSITY P. O. Box 7062 Kampala Uganda Tel: +256-41-540628/ E-mail: psd@cis.mak.ac.ug Mob: 256-712-844343 URL: http://www.cis.mak.ac.

ug Fax: +256-41-540620 COLLEGE OF COMPUTING AND INFORMATION SCIENCES CENTER FOR PROFESSIONAL SKILLS DEVELOPMENT APPLICATION FORM FOR MTA CERTIFICATIONS (FREE VOUCHERS) SURNAME.. OTHER NAMES..... E-mail: Tel: Please Tick the appropriate Certification Exam you are applying for (Training starts one week after submitting an application and you will be contacted) EXAM NAME Duration of Training Testing Training Fees Only Only IT PRO Windows Server (Admin Fundamentals)- Exam 98-365 2 Wks @ 100,000@ 50,000@ Security Fundamentals - Exam 98-367 Module Module Module Networking Fundamentals - Exam 98-366 Windows OS Fundamentals - Exam 98-349 DATABASE Database Administration Fundamentals - Exam 98-364 DEVELOPER Windows Dev Fundamentals- Exam 98-362 Web Development Fundamentals - Exam 98-363 .Net Fundamentals Exam 98 -372 Software Development Fundamentals - Exam 98-361 2 Wks 100,000 50,000 50,000@ Module

2 Wks @ 100,000@ Module Module

TRAINING i) Yes No ii) If you selected Yes state the preferred start date of training(Training Duration is 2 Weeks per module chosen and you will pay a total of Shs.150,000 for both training and Testing @ Module chosen) TESTING ONLY Yes No Preferred Date of Testing.. (In case you need Study notes for individual study please pick from PSD office) Payment procedure: Pick Bank slips from the Front office, College of Computing & Information Sciences and make payments to DFCU Bank (Account Name: MUK, College of Computing & Information Sciences, Account No: 01083500211451). Applicants Signature