INSTITUTE OF POSTGRADUATE STUDIES AND RESEARCH

Passport
size

APPLICATION FOR ADMISSION TO POSTGRADUATE PROGRAMME

Instructions:

Three copies of this form must be completed by each applicant.

This application form is also applicable for candidates who wish to register for PhD
studies.

Certified copies of certificates and academic transcripts should be attached to and

submitted with completed forms.

Any sponsor is required to fill part B of this application form to indicate financial
commitment.

Duly filled application forms and attachments should be returned to:

The Director of Postgraduate Studies,
Zanzibar University,
P.O. Box 2440,
Zanzibar, Tanzania.

PART A: TO BE COMPLETED BY APPLICANT

1. Surname (BLOCK LETTERS) ..................................................................................
2. First name.Second name .........................................................
3. Present address ...................................................................................................
..........................................................................................................................
Phone Number:..E-mail .................................................................
4. Date of birth.Nationality ................................................................
5. Sex...............................................

Marital status ................................................

6. Present employer ..................................................................................................

7. Financial sponsor ..................................................................................................
8. Proposed postgraduate Programme: By CourseworkBy Thesis .....................
9. Masters/PhD degree: Field of study.. .............
a) Preferred Time of Study:
i)

Day; (Mon-Friday) 8:00-3:30pm

ii)

Evening; (Mon-Friday 4.30-7.30)

iii)

Weekend; Saturday and Sunday.

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Previous degree(s) and other professional qualifications to support application:

i) TitleSpecializationInstitution ...........................
Date obtained...Classification ......................
ii) Title.Specialization...Institution. ...................
Date obtained...Classification ..............................................
iii) TitleSpecializationInstitution ..................................................
Date obtained..... Classification ...........................................

11

Professional/Research experience .....................................................................

..........................................................................................................................
..........................................................................................................................

12 Date of beginning of studies .................................................................................

13 Names and addresses of three persons who are willing to be your academic referees.*
i) Name ...............................................................................................................
Address ...........................................................................................................
.......................................................................................................................
ii) Name .................................................................................................................
Address .............................................................................................................
.........................................................................................................................
iii) Name ................................................................................................................
Address ...........................................................................................................
...........................................................................................................................
Signature of applicantDate ....................................................
PART B: TO BE COMPLETED BY THE SPONSOR/EMPLOYER
1. Has the applicant been confirmed in his/her employment?** YES/NO
2. If the applicant gets admission to the Postgraduate Programme will you release
him/her?** YES/NO
3. Any other remarks ..........................................................................................
.....................................................................................................................
.....................................................................................................................
.....................................................................................................................
Signature of employer/sponsorDate......................................
Commitment by Sponsor ................................................................................

PART C: TO BE COMPLETED BY THE FACULTY

1. Referees recommendations:
Positive.NegativeNot submitted .....................................
2. Does the applicant qualify for the programme applied for?** YES/NO
Should the applicant be admitted?** .. Not admitted? ..........................
3. Any additional comments?.................................................................................
.....................................................................................................................
Signature of the Faculty Dean.Date .....................

Signature:. Date:.......................
DIRECTOR OF POSTGRADUATE STUDIES & RESEARCH

Academic referees should be people who had formerly taught the candidate and are
familiar with candidates ability.

**

Delete whichever is not applicable.

INSTITUTE OF POSTGRADUATE STUDIES & RESEARCH

REFEREES LETTER OF RECOMMENDATION

Name of the Applicant ........................................................................................................................

To the Referee: Prof/Dr/Mr/Mrs/Ms ...................................................................................................

The above mentioned person is applying to the Zanzibar University for admission to the postgraduate
study programme, namely:
...........................................................................................................................................................
...........................................................................................................................................................
It would be of great assistance to the University in considering hi/her application if you could kindly
complete this form or attach a reference addressing these questions on your own notepaper. Any
information you provide will remain confidential and will not be released to the applicant without your
consent.
The Zanzibar University Postgraduate Studies Committee would like to thank you in advance for the
time you are taking in preparing this recommendation.
1.

How long and in what capacity have you know the candidate?

...........................................................................................................................................................
...........................................................................................................................................................
...........................................................................................................................................................
...........................................................................................................................................................
2.

What is your opinion of the candidates motivation and suitability for a postgraduate
study programme? What do you consider his/her principal qualities and weaknesses
in this respect?

.....................................................................................................................................................
.....................................................................................................................................................
.....................................................................................................................................................
.....................................................................................................................................................
.....................................................................................................................................................

3.

Please evaluate the candidate in the categories listed in the table below. Where possible,
Outstanding

Excellent

Very Good

Good

(top 5%)

(top 15%)

(top 25)

(top 40%)

Average

Below

Oral
Communication
skills
Written
Communication
Analytical
Capacity
Capacity to
Work affectively
without guidance
Capacity for
organizing skills
for working
effectively with
others
Emotional
maturity and
stability
Intellectual
capacity

appraisal should be made in comparison with the abilities of postgraduate students of

your experience. Please tick whichever is appropriate

4.

Please comment on the ratings above and add any further remarks on the
candidate that you consider relevant.

.....................................................................................................................................................
.....................................................................................................................................................
.....................................................................................................................................................
.....................................................................................................................................................
.....................................................................................................................................................
.....................................................................................................................................................
.....................................................................................................................................................

5.

Tick whichever is appropriate:

Strongly recommended

Recommend with reservations

Recommend

Do not recommend

The candidate to participate in the postgraduate study programme.

Referees Signature ........................................................... Date....................................................

Name and Position ........................................................................................................................
.....................................................................................................................................................
.....................................................................................................................................................
.....................................................................................................................................................
E-mail Address: ........................................................ Phone Number: ...........................................

After you have singed your name across the seal on the flap of the envelope, please hand it over to
the candidate for mailing back to the University with the application form, or you may send the
completed reference form to:

The Director,
Institute of Postgraduate Studies and Research,
Zanzibar University,
P.O. Box 2440,
Zanzibar - Tanzania