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General Application Form OFFICE OF THE ACADEMIC REGISTRAR Team University Kampala - Uganda APPLICATION FORM EMPOWER FOR GENERATIONS VISION STATEMENT MISSION STATEMENT MOTO CORE VALUES Serial No............................... To be a hub of Professional To provide transformative Empower for Professionalism Excellency through continued Education experience for Generations Innovation innovations in Business, and students, with intent to management and other foster productive careers, Integrity disciplines, research and meaningful livelihood, and Excellency entreprenuership for Nations responsible citizenry in a in the East African region global society and beyond. RIGHT CURRENT HAND PASSPORT THUMB PHOTOGRAPH PRINT Masters/ Post Graduate Diploma Under Graduate COURSE APPLIED FOR: Programme (Tick where applicable) 1. GENERAL INFORMATION SURNAME : ………………………………………………………………………………………………………………………..…………………………………................................……. OTHER NAMES: ……………………………………………………………………………………………………………………………………………………………………………………...… GENDER: MALE: FEMALE: MARITAL STATUS ………………………………………………………………………………….…………………………………………………………………………………………………. RELIGIOUS AFFILIATION …………………………………………………………………………………………………………………………………………………………………………. NATIONALITY: ……………………………………………………………………..………………………………………………………………………………………………………………….. DISTRICT OF ORIGIN……………………………………………………………………………………………………………………………………………………………………………….. ANY FORM OF DISABILITY (IF ANY)……………………………………………………………………………………………………………………………………………………… DATE OF BIRTH: Date Date Month Year ADDRESS: P.O.BOX : TOWN/CITY: COUNTRY : MOBILE TEL: OFFICE LINE: HOME TEL: FAX NO: E-mail: 0782-752226, Plot 446, Kabaka 0751-182636, A’njagala Road [email protected], 0705-385409, (near Kabaka A’njagala www.teamuniversity.ac.ug 0701-963280 roundabout) Kampala 2. UNDER THE PRIVATE SPONSORSHIP SCHEME 2(a) MASTERS PROGRAMMES / POST GRADUATE DIPLOMAS Choice of Pragrammes applied for: 1st Choice 2nd Choice 3rd Choice Masters of Public Administration and Management Masters of Business Administration (MBA) Masters of Science in Finance Master of Science in Procurement and Logistics Management Master of Science in Human Resource Management Postgraduate Diploma in Project Planning and Management Postgraduate Diploma in Finance Postgraduate Diploma in Procurement and Logistics Management Postgraduate Diploma in Business Administration Postgraduate Diploma in Human Resource Management Postgraduate Diploma in Public Administration and Management All programs are on weekend. Note: Holders of relevant postgraduate diplomas with good grades from a recognized institution may be exempted year 1 Year of Exam ………………………….. School …………………………………………………………………………………………………………………………………................. Please indicate the subjects and grades where applicable Subject 1 2 3 4 5 6 Grade Institution Attended Year obtained Class of Award Date of Award Employment record : Employer Position held Date(s) www.teamuniversity.ac.ug 2(b) UNDERGRADUATE PROGRAMMES Use letter codes to make the choice of programs applied for e.g. (BBA, BIT, BSAF, BSM, BSP & SWASA) Choice of Pragrammes applied for: 1st Choice 2nd Choice 3rd Choice 4th Choice Bachelor of Science in Accounting and Finance (BSAF) Bachelor of Business Administration (BBA) Bachelor of Science in Management (BSM) Bachelor of Procurement and Logistics Management (BPLM) Bachelor of Business Computing (BBC) Bachelor of Information Technology (BIT) Bachelor of Administrative and Secretarial Practice (BSP) Bachelor of Science in Computer Science (BSCS) Bachelor of Public Administration and Management (BPAM) Bachelor of Social Work and Social Administration (SWASA) Bachelor of Human Resource Management (BHRM) Bachelor of Education - Primary (BEP) Bachelor of Business Studies with Education (BBS) Bachelor of Arts with Education (BAE) Please indicate the subjects and grades where applicable Subject 1 2 3 4 5 6 Grade EDUCATION BACK GROUND (Attach photo copies of academic documents) (i) High School attended……………………………………………………………………………………………………….............................Year……………………………………………..............…………… Combination…………………………………………………………………………………………………… SCORE……………………………………………………………...............................….......... SUBJECT SCORE GRADE s………………………………………………………………………………………………………………………………………………………………….................................... Year of Entry Year 1 Year 2 2(c) DIPLOMA & CERTIFICATE PROGRAMS ACADEMIC PROGRAMME DETAILS Use letter codes to make the choice of programs e.g. DBA, DIT Choice of Programmers’ applied for: 1st Choice 2nd Choice 3rd Choice Diploma in Information Technology (DIT) Diploma in Accounting & Finance (DAF) Diploma in Procurement & Logistics Management (DPLM) Diploma in Business Administration (DBA) Diploma in Public Administration & Management (DPAM) Diploma in Administrative & Secretarial Practice (DASP) Diploma in Secretarial Practice (DSP) Diploma in Public Administration and Management (DPAM) Diploma in social work and social admnistration (DSWASA) Diploma in Education - Primary (DEP) (CBA) (CIT) (CSS) Certificate in Public Administration & Management(CPAM) Certificate in Social Work (CSW) www.teamuniversity.ac.ug EDUCATION BACK GROUND ( Attach photo copies of academic documents) (i) Secondary School attended ……………………………………………………………………………………………………….........................................Year……....................................... SUBJECT SCORE GRADE (ii) High School attended………………………………………………………………………………………………………......................Year……………………………………………..............……………... Combination…………………………………………………………………………………………………… SCORE……………………………………………………………...............................…............... (iii) ………………………………………………………………………………………………………………………………………………………………….................................... ……………………………………………………………………………………………………………………………………………………………….................................................. 3. CHOICE OF S TUDY T IME APPLIED FOR: 1st Choice 2nd Choice 3rd Choice 4th Choice Day Evening Weekend Distance Learning Inservice 4. SPONSORSHIP: Name of sponsor ……………………………………………………………………………………………………………………………………………………………………......................................…................. Organization ………………………………………………….................. Address ……………………………………....................… Tel: …………………………………….……………………….............. 5. INFORMATION ABOUT PARENTS / GUARDIAN Father Mother Guardian Surname in full ………………………………………………………............ ……………………………………………………….......... ……………………………………………………………… Others names ………………….………………………………….….......... ……………………………………………………….......... ……………………………………………………………… Date of Birth …………………….……………………………….….......... ….……………………………………………………......... ……………………………………………………………… Village ………………………………….…………….…............... ……………………………………………………….......... ……………………………………………………………… Sub county …………………………………………………………......... ………………………………………………………........... ……………………………………………………………… District of Birth ………………………………………………………............ ……………………………………………………….......... ……………………………………………………………… Nationality …………………………………………..………………....... ………………………………………………………........... ……………………………………………………………… Country of Residence ..........…………………………….……………....... ……………………………………………………….......... ……………………………………………………………… Occupation ………………….………………………………………........ ………………………………………………………........... .…………………………………………………………..… Contact/ Tel No. ................................................................... ................................................................... ................................................................ 6. DECLARATION BY THE APPLICANT: I declare that to the best of my knowledge the information given on this form is correct. Signature of applicant …………………………………………………………………………....................... Date …………………………………………………………………............………... 7. FOR ACADEMIC REGISTRAR’S USE ONLY ACCEPTED REJECTED SIGNATURE …………………………………….............…………………………………….. DATE ……………………………………………….............................…………………………… NOTE: Applicants are strongly warned that presentation of forged or other people’s Academic documents in support of their application when discovered either at registration or afterwards will automatically lead to CANCELATION of Admission and prosecution in the courts of law. The University has the right to nullify any admissions done in error for any reason /Cause www.teamuniversity.ac.ug.
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