MUHIMBILI UNIVERSIW OF HEALTH AND ALLIED

SCIENCES
OFFICE OF THE DEPUTY VICE.CHANCELLOR, ACA D EMIC, RES EARC H AN D CONS A LTA NCY

P.O. BOX 6500t DAR ES SALA/1M

TANZANI,l Telcfox: +255 022

2150465

T el: +255 022 2150302/6 Ext. 1236 Ditect Line: +255 022 2150473 We bs i le : h t Ip. rttriw, mu It as. ac.tz E- n s i I : d!S!l!9@!h!!4!!E

Ref. No. MU.02l0050/VOL. lll59

Dote:

8th

October. 20,|3

RE:

INVITATION FOR APPIICAIION INIO DIPTOMA EXECUTIVE TRACK PROGRAMMES

Applicotions ore invited inf o Diplomo ond Advonced Diplomo progrommes from Muhimbili Universily of Heolth ond Allied Sciences (MUHAS) into the following execulive
rrqcK progrommes.

l. 2. 3. 4. 5.

Diplomo in Phormoceuticol Sciences (DPS)-Executive Trock Diplomo in Diognoslic Rodiogrophy (DDR) - Execulive Trock Diplomo in Nursing (DN) - Executive Trock Diplomo in Medicol Loborolory Sciences (DMLS) - Execulive Trock Diplomo in Environmenlol Heollh Sciences {DEHS) - Execulive Trock N.B for DEHS progromme it is for (Muhlmbili Compus, Tongo Compus ond Mpwopwo Compus) Duly filled opplicotion forms should be honded in lo the odmissions office, Muhimbili Universily of Heolth ond Allied Sciences. The deodline for submission of opplicolion forms is 4:00pm on Thursdoy,3l'r October,20l3. Applicotion forms received thereofter (whelher submitted in person or otherwise) sholl nol be processed.

l'. a

rcrilcr

I ci i'l::,1:ii :rl

i,n.l C.ix s!lr't:rc! )

Proi.o. Ngossopo P

i. ic; .

Ag; Deputy Vice Choncellor -

55501 AnC " l4

cc: cc: cc: cc: cc: cc:

Vice Choncellor, MUHAS Deputy Vice Choncellor - PFA, MUHAS Direclor, Undergroduofe Educolion, MUHAS Direcfor. IAHS. MUHAS
Bursor, MUHAS

All Nolice Boords

For Offial

tbe

Only

MUHIMBII.I UNIVERSIIY OF HEATTH AND AI.LIED SCIENCES

APPI.ICATION FORM FOR ADMISSION TO ORDINARY DIPI.OMA AND ADVANCED DIPTOMA PROGRAMMES FOR
THE

ACADEMIC YEAR 20I3/20I4

EVENING OR EXECUTIVE TRACK Three filled copies of ihis form iogether with copies of school cerlificotes be sent Educoiion/Admissions Office, P.O. Box 65001, Dor es Soloom, Tonzonio:

lo: Director, Undergroduote

d!gg!4ghq!4Llz

(Pleose reod corefully the lnsttuclions to Appriconls oltochect belote filling ln lhis opplicollon fotm)

CHOICE OF PROGRAMMES IN DESCENDING ORDER OF PREFERENCE

the ioble below, enter the progrommes you would like lo study
ore oiven in lhe lnstruclions to
onts.

order

of preference.

Deioils of Tne

tull Nome of Progromme

1.0

PERSONAT PARTICUI,ARS

Lt
First

Middle Nomes: {Nofe: Ihe nomes entered in this form must be exoctly the some os those oppeonng on yourA.C.S.E.E.Form Vl or other cerificofes lo be used for odmission.l
1.2 1.4

Nome:
[
]

Sex: Mole

Femole

.3 Dote ot Birih:

I .5

t.6
.8
.9

1.7

Citizenship: Moritol Siolus:...................

Moiling Address: P.O. Box..............

Do you hove ony kind of disobility? Yes: I l (Noter Ihis /nformofion is requied in otder for lhe Universily to aronge appropriole meons of ossisling you once odmitted. lt will in no woy offect lhe decision fo odmit yau)
EDUCATION BACKGROUND AND EMPLOYMENT RECORD

.10

certificote of

Form lV

Exominotion

Auihority

......,............,...

Divlsion:

Exominotion Cenlre or School:

Exominoiion Authority Exominotion Centre or School:

Address of the School you ottended losl: Tel. Poslol Address.........

Division:

Country:

2.3

Quolificolions olher thon A.C.S.E.E, (Form Vl) or its equivolent (e.9. University Degree, Diplomo or Ceriificote elc.):... college/lnstitule:

Subjecf

Grode

Yeor

lndex No

Subiect

Grode

Yeor

lndex No

Exominolion Authoriiy Exominotion Centre or School:

2.4
Posl

Divislon: ....................,..........Couniry: ..................

A-level Educollon

Hove you oltended ihis University/College or ony olher Instiiulions of Higher Leorning before? Yes: [] No: [ ] lf yes, provide deloils in lhe toble below.

s/N Insfilullon Atlended

Slolus (Groduoled/ disconllnued/Absconded)

lf groduoled give ouollficolion ollolned

Dole Obloined

Address of lhe School you ottended losi: Tel.

No:.........

........emoi| oddress...............................

2.5
s/N

Employmenf Record Pleose give deloils of your employmenl record in ihe toble below. Nome of Employer
Posl Held

Doles

lndicole ihe oddress of your lost employer: poslol oddress......

o.u
3.1

APPI.ICATION FEE AND SPONSORSHIP:

3.2 3.3

Indicote the receipl number or crossed Posiol/Money Order number otloched lo lhis form being o non refundoble Admission fee ...-...............,..... fNofe: oflgrno/ recer'pfs must be ottoched to this f ormi. Indicoie the type of sponsorship for your sludies fpieose tick oneJ; privole I l nlhar /s^A^if\,\ Governmenl of Tonzonio I I lf you ore nol seeking sponsorship from lhe Government of Tonzonio, give 'lhe full nome, ocaress. ond o of

Declorollon
I

declore thot oll lnformoiion given in ihis form

Signoiure of

Appljcont:

(Nafe: The infotmafion given in this lorm will be used f ot odmissjon purposes oniy. Non_djsc/osure ol detoi/s or provision of folse informolian lo any of lhe seclions in lhis form if discoveted sholl render your registrotion wilh lhe Muhimbili lJn;iversity concelled.l

..

is

conecl.

Dote:

FOR OFFICIAI USE ONtY Applicotion form hos been received by the Admissions Officer, Muhimbili Universi'ty of Heollh ond Allied Sciences. Nome of Officer: .......Signoiure Dote: ..................

Decision by the SENATE: .................

MUHIMBITI UNIVERSITY OF HEATTH AND AILIED SCIENCES Admissions Office, P.O. Box 65001, Dor es Sqlqom, Tonzoniq
Insirucfions lo oppliconls seeking odmission lo Ordinory Diplomo in Evening or Execufive Trock Appliconts ore required to reod ihese instructions corefully before filling in the opplicoiion forms. Incorreclly filled or incomplete opplicotion forms will noi be processed.
1.0

APPLICATION

FEES

Submission

poyment

Tonzonions is TShs. 20,000/= ond for non-Tonzonions is USD 30. All poyments should be deoosiied into the MUHIMBILI UNIVERSITY OF HEALTH AND ALLIED sctENcEs, NAT|oNAL MTCROFTNANCE BANK OF TANZANTA L|MTTED (NMB) ACCOUNT NUMBER 2091100002 (MUHIMBILI BRANCH). Remember lo use lhe oppliconf's nqme ond moke sure thol you otioch fo your opplicolion forms o copy of our receipl which you will obfoin ol our Bursor's office ofter presenlolion io him the originol poy-in slip of lhe opplicoflon fee. Appliconis

be occomponied wiih of non-refundoble Applicotion fee. The opplicotion fee for of duly filled opplicotion
forms should

ore odvised io keep o copy of the receipf ond poy-in slip for fulure
ORDINARY DIPLOMA PROGRAMMES

use

whenever required.
2.0

The progromme offered by MUHAS under Ordinory Diplomo Executive Trock includ es; r. DrProMA tN MED|CAI LABORATORY SCTENCES (3 YEARS) 2. DIPLOMA IN ENVIRONMENTAL HEATTH SCIENCES (3 YEARS) 3. DIPLOMA IN DIAGNOSTIC RADIOGRAPHY (3 YEARS) 4. DTPLOMA rN PHARMACEUTTCAL SCTENCES (3 YEARS) 5. DTPLOMA rN NURSTNG (3 YEARS)

3.0

SUBMISSION OF APPTICATION FORMS

Duly filled opplicotion forms should be honded in 1o the Admissions Office, Muhimbili University. Applicotion forms moy olso be posted to:
Director, Undergroduote Educotion, Admissions Officer,
P.O. Box 65001, Dor es Soloqm, Tonzonio.

The deodline for submission of duly filled opplicoiion forms is 4 o.m. on Thursdov 31st Oclober. 2013. Applicotion forms received ihereofter (whether submitted in person or oiherwise) sholl not be processed.

4.0

WARNING

It should be noled thot it is on offence lo submif folse informotion when

opplying for odmission. Appliconls who will be discovered fo hqve submitled forged cerlificoles or ony other such informolion will nol be considered ond oppropriole legol oction will be loken ogoinst them. Bonofide Universily sfudenls ore coulioned nol lo ottempf opplying for odmission. lf such sludenls submil lheir opplicolions then fhey will be lioble lo de-registrolion from sfudies. Likewise, former sludenls who hove oheody groduoled connol be odmitted os undergroduole sludenfs under Government loon sponsorship.
5.0
FINAL CHECKTIST OF APPTICATION FOR ADMISSION

Since incompleie opplicotion forms will not be processed, it is importont thot the opplicont checks whether three sels of qpplicofion forms qre mode ond oll the items indicoted below ore included in her/his opplicotion submission.
(i)

Four stomp size block ond white photogrophs with opplicont's nome

(ii)

(iii)

(iv) (v) (vi)

wriiten of the bock Three copies of certificoies ond/or resuli slips for O-Level or equivolent Three copies of certificotes ond/or resuli slips for A-Level or equivolent Three copies of Birth Certificote ond/or Affidovii The originol bonk poy-in slip for the poyment of the non-refundoble
A

nnlir-niinn faac

A letter of

commitment from your sponsors indicoting his/her

commitmeni on poying the required fees ond other relqted oovment to the University
N.B Accommodofion focililies will not be provided fo oll Executive trock progromme. The successfully selecled condidotes will hove lo moke lheir own occommodolion orrongemenls.
A:

Finonciol Requiremenls:

I.

FEES FOR

TANZANIAN STUDENTS.
PROGRAMME) Hosfels/Boording

o) Ordinory Diplomo (EXCUTIVE

s/N llems
Meols Tuilion Fees

Amounl Doy
L200.000
5.000
10.000

2. 3.
I

L200.000
5.000 I 0.000 t 0.000

Plivote (Hostel) Z50Ol=*oerdov L200.000

r

ldeniitv Cord
Sporls

5.000 0.000

5.
6. 7.

Coulion Money Accomodolion Fees Medicol Exoenses

r0,000

t0.000

2500/=.*oerdov

Reoistrotion Fees 5.000 s.000 5.000 Exominoiion Fees 40.000 70.000 30.000 10. Studenl Oroonisotion 2,000*. 2,000-. Field Troininq/Reseorch 100,000 t 00.000 100.000 Tolol* r.362.000 1.372.000 1.402.000 Totol*' Note: Meols ond Accomodotion hove nol been included in the lolol fees. The studeni will be required io poy such fees os needed. * This omount is poyoble to to the studenl who will need Inslitulion meols orrongemenl '* This omount is povoble to the student who will need Inslilulionol occomodolion offongement *** First yeor sfudents only . Field Troining/Reseorch - Retoined by siudent for field/reseorch troining Tofol* - This omount is poyoble to non - Notionol Heollh Insuronce Fund {NIHF) Beneficiories Tofol'* - This omounl is poyoble 10 condidotes who ore(NIHF)Beneficiories
8.
9.

2.
s/N

RESPECTIVE FEES FOR FOREIGN STUDENTS

CERTIFICAIE
ITEMS

DIPTOMA
COURSES

COURSES

ADVANCED DIPIOMA
COURSES

uss
Tuition Fees
2. 3. I
5. 6. 7.

us$
1.250.00 50.00
I 00.00 700.00

uss
r,800.00
50.00

950.00

8.
9.

t0.

Registrolion Fees (Firsl Yeor ontvt Exominotions Fees Meols Accommodotlon fees Medicol Expenses Coulion money Field work/Reseorch ldentity Cord Studenl Orqonisolion
TOTAL

s0.00
100.00

ts0.00
700.00 270.00 20.00 500.00 5.00 I 0.00* 3505.00

/00.00
270.00 20.00 00.00 s.00

270.0O

r0.002205.00
is.

20.00 200.00 5.00 10.002605.00

The coution money is not refundoble ot lhe end of your course.

Money is poyoble lo lhe inslilution where the student

Firsf

* .-

yeor students only.

Finol yeor students only. Sponsors 10 provide field ollowonce to lheir sponsees.

B:

REGUTATION FOR PAYMENTS:

t.

You con poy the whole fees or holf of the fees of the beginning of the firsi ierm ond the remoining fees con be poid of the beginning of the second term of studies. {Any studeni who foils to poy ihe cost shoring money within o period of o month time will be sent home).
Ensure

2.

thot you obtoin on officiol receipt for poyments mode io the Centre/School.

3.

Non-Tonzonions students con poy Tonzonion money equivolenl to ihe forex omount he/she is supposed to poy.

4. 5. 6. 7.

When ol the University you should obey the lowful inslructions of oli the leoders in the troining instituiion of the University ond lhe country.

You hove to moke orrongemenls of your own troveling expenses Universiiy for oll the yeors of your studies.
Sludents ore expected to hove

io ond from ihe

odequole pocket money for esseniiol expenses.

All in-service foreign ond privote sludents ore odvised io come/use their Heolth lnsuronce cords for treotment when they ore of ihe Instiiution.

N.B: lt should be noted thqt, occommodotion ond hostel focilities is not gronted to Evening students bui il moy be provided on request ond bosed on the

C:

ovoilo bilily. For your regisirotion you should orronge to see the Director, Institute of Allied Heolth Sciences on 7th Oclober, 2013 ond 2'lst Oclober, 2013 wilh this letter,

your originol certificoies, medicql certificotes ond four poss-port

size

D:

photogrophs (block ond white). Ensure thot you inform your sponsor obout ihis offer ond thot you come with lhe required fees or the some is poid to the Institute or respecfive School in odvo nce.

Pleose note thoi you will not 2lst Oclober, 20]3

be odmitted if you ore noi in the School by

E:

For those who will be odmitted to the Muhimbili Compus they should deposil their fees to lhe following Bonk Account: DIRECTOR - INSTITUTE OF ALLIED

HEALTH SCIENCES, NMB

MUHIMBILI BRANCH A/C 2O9O11OOO16

MUHTMBTLT UNTVERSTTY OF HEATTH

AND ALUED SCTENCES (MUHAS)

INVITATION FOR ADMISSION INTO DIPLOMA AND ADVANCED DIPTOMA EXECUTIVE PROGRAMMES FOR THE ACADEMIC YEAR 2013/20I4

Applicotions ore invited from quolified condidotes who completed form four or form six or condidotes wiih equivolent quolificotions wishing to pursue the following Execulive Diplomo or Advonced Diplomo progrommes of the Muhimbili University of Heolth ond Allied Sciences for ihe ocodemic yeor 2013/2014

1.0

DtPtoMA rN MED|CAT LABORATORY

YEARS)

SCTENCES-EXECUTTVE PROGRAMME (3

i) ii)

Dhecl Entry

Biology ond Chemistry Mothemotics ot 'O' level. Credits

in

ond one in either

physics or

Equivalenf QuoftTicofions Loborotory Assistont with three yeors experience who hos possed the selection exominotion recognized by the University ond musl hove ,O' level secondory school certificote.

2.0

DIPLOMA IN ENVIRONMENTAT HEATTH SCIENCES. EXECUTIVE PROGRAMME (3

YEARS)

i) ii)

Direct Enlry Poss in English ond three credit posses, one in Moihemotics other out of Physics, Chemistry ond Biology ot ,O' level.

ond two

Equivolenl Quolifcofions Heolth Assistont with three yeors experience who hqs possed the selection exominotion recognized by the University ond must hove ,O' level secondory school cerlificole.

3.0

i)

DIPTOMA IN DTAGNOSTIC RADIOGRAPHY. EXECUTIVE PROGRAMME (3 YEARS) Direct Entry C grode or higher posses in three oul of physics, Chemistry, Biology ond Mothemotics ond of leost D grode poss in English. physics is o mojor

subject.

ii)

Equivolenl Quolificofions Rodiogropher Assislont with three yeors experience who hos possed the selection exominotion recognized by the Universiiy ond must hove'O'level secondorv school certificote.

4.0

DIPLOMA IN PHARMACEUTICAT SCIENCES EXECUTIVE PROGRAMME (3 YEARS)

i) ii)

Direct Entry

Three credit posses which must include Moths, Chemistry ond English with o poss in Biology ond Physics.
Equivolenf Quolificofions Phormoceulicol Assistont with three yeors experience who hos possed the seleciion exominotion recognized by the University ond must hove 'O' level secondory school certificoie.

5.0

i.

DIPTOMA IN NURSING EXECUTIVE PROGRAMME (3 YEARS) Enfry Requiremenls

Condidotes must hove compleled O-level educqtion with o credit Biology ond two posses in Chemistry ond Mothemotics or Physics.
three yeors from ihe yeor of opplicotion.

in

ii.

Condidotes musl hove completed secondory school educotion within

Appliconis should oblqin opplicotion forms from the Admissions Office, Multipurpose Loboroiory Building, First floor, Room No. 25, MUHAS Website: www.muhos.oc.tz, Muhimbili University of Heolth ond Allied Sciences or
through the following oddress:
Director, Undergroduote Educotion, Muhimbili University of Heolth ond Allied Sciences,
P.O. Box 6500.]. Dqr es Soloom, Tonzonio.

Deodline for submission of duly filled in opplicotion forms is siricfly ot 4:00pm on Thursdoy, 3lst Oclober. 2013.