FORM NM-A101

THE NELSON MANDELA

AFRICAN INSTITUTION OF SCIENCE AND TECHNOLOGY (NM-AIST)
ARUSHA
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APPLICATION FORM FOR ADMISSION INTO POSTGRADUATE STUDIES AT

NM-AIST FOR 2015/16 ACADEMIC YEAR
A: General Instructions
(i) Read carefully the application information and instructions before filling this
form.
(ii) Applicants information written and submitted herein MUST be correct,
complete, genuine and reliable.
(iii)

Write your information by ticking () in the appropriate boxes or by filling

empty spaces.
(iv)

Choose the degree programme you are interested to study basing on your

priorities i.e. ranked from the first priority as 1, the second priority as 2 and
third priority as 3 for a maximum of 3 choices.
(v) Presentation of wrong information and/or forged academic certificates and
transcripts and other information shall lead to disqualification from admission
and legal actions may be taken against the wrongdoer.
(vi)

Application package MUST be accompanied by the most up to date CV.

(vii)

Names and other academic information should appear as they appear in your

certificates and/or transcripts.

(viii) Payment of application fees is a prerequisite for processing your application.
B: Applicants Information
B-1: Personal Information
(i) Title
Mr

Mrs

Miss

Others

(ii) Marital Status

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FORM NM-A101

Single

Married

(iii) Names
Surname

First Name

Middle/Other Names

(iii)Date of birth

/
/
Date / Month / Year

(iv) Nationality
B-2: Contact Information
Country

Town/City

Street

Postal code/Address

Landline

Mobile Phone

E-mail address
C: Application Information
C-1: The Intended Degree Programme (Please tick appropriate box)
Masters
PhD
C-2: The Mode of Study (Please tick appropriate box)
Coursework
Thesis
C-3: The Degree Programmes and Areas of Specialization to Which
Admission is Sought (please choose basing on your priorities)
School of Life Sciences and Bioengineering (LiSBE)
S/ Cluster
Areas of
Choice
Degree Programme
N
Specialization
s
1
Life Sciences (i) Masters in Life
Health and Biomedical
and
Sciences and
Sciences
Engineering
Engineering
Sustainable Agriculture
(LiSE)
(ii) PhD in Life Sciences
Food and Nutritional
and Engineering
Sciences
2

FORM NM-A101

Biodiversity
and
Ecosystems
Management
Bioproduct
Development
(i) Masters in
Bio2
Bioengineering
Vaccines
and
engineering
(ii) PhD in Bioengineering
Diagnostics
Development
School of Communication and Computational Science and Engineering
(CoCSE)
S/ Cluster
Degree Programme
Areas
of Choice
N
Specialization
s
(i) Masters
in Applied
Mathematics
Mathematical
Mathematical
and and
Computational
and Computer
Computer Science and Science
1
Science
and
Engineering
Engineering
(ii) PhD in Mathematical Computer Science and
(MCSE)
and Computer Science Engineering
and Engineering
(i) Masters in Information Information Technology
Information
and
Communication Systems Development
and
Science
and and Management
Communicatio
2
Engineering
n Science and
Electronics
and
(ii) PhD in Information and
Engineering
Telecommunications
Communication Science
(ICSE)
Engineering
and Engineering

FORM NM-A101

School of Materials, Energy, Water and Environmental Sciences (MEWES)

Areas of
S/
Choic
Cluster
Degree Programme
Specialization
N
es
Materials
Science and
Engineering
(MaSE)

(i) Masters in Materials

Science and
Engineering
(ii) PhD in Materials
Science and
Engineering

Sustainable
Energy
Science and
Engineering
(SESE)

(i) Masters in Sustainable

Energy Science and
Engineering
(ii) PhD in Sustainable
Energy Science and
Engineering

Hydrology and
Water
Resources
Engineering
(HWRE)

(i) Masters in Hydrology

and Water Resources
Engineering
(ii) PhD in Hydrology and
Water Resources
Engineering

Environmental
Science and
Engineering
(EnSE)

(i) Masters in
Environmental Science
and Engineering
(ii) PhD in Environmental
Science and
Engineering

Structural
Materials
Energy Materials
Sustainable Power
Generation and Energy
Utilization
Sustainable Renewable
Energy Engineering
Sustainable Nuclear
Power Engineering
Hydrology and Climate
Studies
Water Resources
Engineering
Irrigation Engineering
Water Supply and
Sanitation
Environmental Science
Environmental
Engineering

C-4: Sponsorship
How do you intend to finance your studies?
Self
Employer
Family
Solicit a scholarship
Others, please specify
C-5: Name and Contact Addresses of Sponsor (if available)
Full Name
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FORM NM-A101

Address
Landline

Mobile Phone

E-mail

FORM NM-A101

C-6: Certification of Employment and Grant of Study Leave

(i) Are you employed? Yes

No

(ii) If employed, please specify the organization you are working in, position/title
and contact address of employer
Organization
Position/Title
Postal address
Landline

Mobile Phone

E-mail address
D: Academic, Professional and Career Information
D-1: Academic Background Information (Fill in the chorological order)
S/
Period
School/
Location Level
of Title
of
the
N
(From YY to College/
/
Education
Course/Degree
YY)
University
Country Attained
Completed/Awar
ded
(i)
(ii)
(iii
)
(iv
)
(v)
(vi
)
(vi
i)
(vi
ii)
D-2: Academic Awards (GPA/Grade/Division)(must match your certificates and
transcripts)
S/ Course/Degree Attended
GPA/Grade/Divisi
N
on
(i) Certificate of Secondary Education Examination (CSEE)
(ii) Advanced
Certificate
of
Secondary
Education
Examination (ACSEE)
(iii Certificate (if any)
)
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FORM NM-A101

(iv Ordinary Diploma (if any)

)
(v) Advanced Diploma
(vi Bachelor Degree
)
(vi Postgraduate Diploma (If any)
i)
(vi Masters Degree (Applicable for PhD applicants)
ii)
D-3: Experience in Professional Works (in chronological order)
S/
Period
Institution/Compan
Position
Summary of Duties
N
(From YY to y
Held
Performed
YY)
(i)
(ii)
(iii
)
(iv
)
(v)
(vi
)
(vi
i)
(vi
ii)

D-4: Experience in Research Work (in chronological order)

S/
Period
Title
of
Research Research Board to Which
N
(From YY to YY) Project/Programme
Research
Work
was
Presented/Accepted
(i)
(ii)
(iii
)
(iv
)
(v)
(vi
)
(vi
i)
(vi
ii)
D-5 Key Achievements
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FORM NM-A101

List Publications, Theses, Books, Innovations, Systems Designed/Developed and

Prizes (if any)
(i)
(ii)
(iii
)
(iv
)
(v)
(vi
)
(vi
i)
(vi
ii)
D-6 Additional Requirements for Students Applying for Masters and PhD
by Research and Thesis
D-6.1 Masters by Thesis
Submit along with the application documents, a concise ONE-page concept note of
what you wish to research on as part of the study in order to demonstrate your
ability to organize thoughts in writing, logically and creatively.
D-6.2 PhD by Thesis
Submit along with the application documents, a concise TWO-page concept note of
what you wish to research on as part of study in order to demonstrate your ability
to organize thoughts in writing, logically and creatively.
D-7 Referees
Names of TWO persons whom you have requested to be your referee (Your
referees must fill forms NM-A102)
Full name:
Position/Title:
Institution:
E-mail Address:
Full name:
Position/Title:
Institution:
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FORM NM-A101

E-mailaddress: