MEMORANDOM. TO: Tanzania Program Students, Fall Emily Gaul, Program Associate
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1 MEMORANDOM TO: Tanzania Program Students, Fall 2013 FROM: Emily Gaul, Program Associate DATE: March 15, 2013 RE: UDSM Forms Please find the attached forms to complete for your UDSM registration. For each form, there is a memo that outlines what needs to be done. The following forms with passport photos are due to me by May 1, 2013: Residence Permit Application UDSM Application Form UDSM Form C UDSM Student Registration Form Resume Copy of your passport 12 Passport size photos (in addition to the passport photos needed on each form) (Please consider using an online program or photo editor to print these it is a much cheaper option than going to Walgreens but be sure they are the correct size and printed on photo paper.) It is essential that all forms are completed correctly and submitted on-time. If forms are not turned in on-time you may not be able to participate in the program. Again, all of these forms are due to me on May 1, If you have any questions, please contact me either by (egaul@acm.edu) or phone
2 University of Dar es Salaam Application Form for Admission for Short-Term Student The following are instructions for completing forms for enrollment at the University of Dar es Salaam. Please read this material carefully, as your eligibility to study at UDSM depends on the successful completion of these forms. After you have completed the enclosed forms, please send them to the ACM by May 1, Please find below a list of more detailed instructions. University of Dar es Salaam Application for Admission for Short Term/Occasional Student: Complete the following numbers using BLOCK CAPITALS: 1. Family Name: your last name Other names: your first name Gender: M or F Date of Birth : d/m/year Nationality: for example, USA 2. Entry Qualifications: You do NOT need to include a copy of your transcript. Undergraduate year: junior/senior Course: please list your major Other Qualifications: leave blank 3. Applicant Contact Address: please use you home address 4. Financial sponsor for University fees: leave blank 5. Are you applying as a short/term occasional student: already filled out 6. Choice of courses and duration of study: leave blank 7. Sign and date When you are finished filling-out the blank application form, paperclip two passport-size photos over the box in the upper right-hand corner. Please send your completed University of Dar es Salaam forms to the ACM by May 1, If you have any questions, please feel free to contact me at egaul@acm.edu or Send materials to: Associated Colleges of the Midwest Attn: Emily Gaul 205 W. Wacker Drive, Suite 220 Chicago, IL 60606
3 University of Dar es Salaam Two photos APPLICATION FORM FOR ADMISSION FOR SHORT-TERM/OCCASIONAL STUDENT 1. Family Name Other names.. Gender.Date of Birth. Nationality.. 2. Entry Qualifications: Please attach transcript i) Undergraduate year.... Course.... ii) Other qualifications Applicant s Contact Address:. 4. Financial sponsor for University fees (enclose guarantee letter) 5. Are you applying as a short-term/occasional* Student?.... one year/ one semester (Please specify) 6. Choice of courses and duration of study (specify): Course: i) B.A / B. A. Education ii) B. Sc. Gen./ Geology/ Computer/ Electronics/Education iii) B.Sc. Eng. iv) B.Com. v) LL.B. (Laws) vi) Faculty of Informatics and Virtual Education (FIVE) vii) Faculty of Aquatic Sciences and Technology (FAST) viii) Faculty of Civil Engineering and Built Environment ix Faculty of Electrical and Computer Systems Engineering x Faculty of Mechanical and Chemical Engineering 7. Applicant s signature:...date:. 8. Sending College/University recommendation/verification/remarks Name.....,..... Address Signature and official stamp *Short-term studentship: 1 academic year. Occasional studentship: one semester.
4 FEES STRUCTURE 1. OCCASIONAL STUDENT (FEES) 1. Application fee US $ Registration fees US $ Caution Money US $ Student Union fees US $ Examination fees US $ Identity Card US $ 5 REQUIREMENT TO ALL FOREIGN STUDENTS: Resident permit C fee US $ 120 (payable at the immigration department) 2
5 University of Dar es Salaam Student Registration Form Degree Programmes The following are instructions for completing forms for enrollment at the University of Dar es Salaam. Please read this material carefully, as your eligibility to study at UDSM depends on the successful completion of these forms. After you have completed the enclosed forms, please send to the ACM by May 1, Please find below a list of more detailed instructions. University of Dar es Salaam Student Registration Form: Complete the highlighted numbers using BLOCK CAPITALS: 1, 2, 3, 4, 5, 6, 7, 8, 11, 12, 18a, 19, 20a, 20b, 20c, 21a, 21b, 21c, and 24. When you are finished filling-out the blank Student Registration form, staple a passport-size photo (does not need to be black and white photo) over the box in the upper right-hand corner. Personal Resume: Please send to the ACM a copy of your personal resume. Your resume does not need to be extensive. A one-page, simplified version is fine. Please send your completed University of Dar es Salaam forms and a copy of your resume to the ACM by May 1, If you have any questions, please feel free to contact me at egaul@acm.edu or Send materials to: Associated Colleges of the Midwest Attn: Emily Gaul 205 W. Wacker Drive, Suite 220 Chicago, IL 60606
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10 University of Dar es Saalam FORM C The following are instructions for completing forms your residence permit (which will be issued once you are in Tanzania). Please read this material carefully, as your eligibility to study at UDSM depends on the successful completion of these forms. After you have completed the enclosed forms, please send them to ACM no later than May 1, Please find below a list of more detailed instructions. Form C Surname: Last name Other name: First and Middle Name Faculty: leave blank Marital Status: single, married, divorced, widowed Age: Sex: M or F Degree Course: leave blank PERSONAL HISTORY indicate yes or no for each of the conditions PHYSICAL EXAMINATION please have your physician or campus nurse fill this portion out LABORATORY DO NOT FILL OUT CONCLUSION If you read this carefully, it doesn t make much sense. Please have your physician circle Mr./Miss/Mrs. and write your name. Please have your physician circle he or she and have them circle either is or not. They must then sign and date the form. Please send your completed application to the ACM by May 1, If you have any questions, please feel free to contact me at egaul@acm.edu or Send materials to: Associated Colleges of the Midwest Attn: Emily Gaul 205 W. Wacker Drive, Suite 220 Chicago, IL 60606
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13 Application for First Grant/Replacement of Residence Permit - Tanzania The following are instructions for completing forms your residence permit (which will be issued once you are in Tanzania). Please read this material carefully, as your eligibility to study at UDSM depends on the successful completion of these forms. After you have completed the enclosed forms, please send them to ACM no later than May 1, Please find below a list of more detailed instructions. Please refer to the *example* application and follow the example. You do NOT need to attach five photographs to this application. Simply paste ONE photograph in the upper right hand corner. Do NOT fill out any information past Part 1. application blank. Please leave the rest of the Please send your completed application to the ACM by May 1, If you have any questions, please feel free to contact me at egaul@acm.edu or Send materials to: Associated Colleges of the Midwest Attn: Emily Gaul 205 W. Wacker Drive, Suite 220 Chicago, IL 60606
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15 TIF. 1 Dossier Number THE UNITED REPUBLIC OF TANZANIA PASTE PHOTOGRAPH OF APPLICANT HERE IMPORTANT: APPLICATION FOR FIRST GRANT/RENEWAL OF RESIDENCE PERMIT CLASS A/B/C (THE IMMIGRATION ACT, 1995) Applications for Residence Permit Class A and C should be forwarded to the Director of Immigration Services P.O box 512, Dar es Salaam. Applications for class B (employees) should be forwarded to the Director of Immigration Services through the Labour Commissioner, P.O Box 9014, Dar es Salaam. Five photographs should be attached to application forms. PART 1 PARTICULARS OF APPLICANT I HEREBY APPLY FOR FIRST GRANT/RENEWAL OF RESIDENCE PERMIT CLASS.. 1. Full name MR/MRS/MISS: Marital Status Home Address: Address while in Tanzania Place of Birth: Date of Birth: Nationality: Passport No: Date of Issue:..... Place of Issue. 8. Height. Colour of eyes.... Colour of hair Academic qualifications held.. Photocopies of Certificates or other proof should be attached. 10. Profession/Occupation/ for self employed applicants state specifically what type of business you are carrying on (a) Place of intended Residence in Tanzania: Region: District: Area.Street (b) Place of Work in Tanzania: Region..... District Application for Residence Permit will be required to execute one of the following conditions: (1) General Security Covenant (2) Bank Bond (U$ 1,000) (3) Cash Deposits (U$ 1,000) 13. Particulars of any previous application for residence permit to Tanzania stating whether or not they have been granted or refused.... DECLARATION 14. I THE APPLICANT, HEREBY DECLARE THAT THE AFOREGOING ARE CORRECT IN EVERY DETAIL. Date Signature of Applicant.. PART II PARTICULARS OF ACCOMPANYING FAMILIES To be completed only by applicants who wish their non Tanzanian wives and children under 18 years of age to reside with them in Tanzania. Full Name Relationship to Applicant Date of Birth......
16 PART III EMPLOYMENT INFORMATION (To be completed by Employer if Applicant seeks to take up or continue with specific employment in Tanzania). NOTE: It is the Government s policy that the economy of Tanzania should be manned by trained and competent citizens. Resident Permit (or renewal therefore) for employment in Tanzania are issued to noncitizens with skills not available at present in Tanzania labour market only on the understanding that effective training programmes in service or other wise are undertaken with a specified period to produce trained citizens competent to replace them. For further information contact the appointment Bureau of the Ministry of Labour and Manpower Development, Dar es Salaam. 15. Name of Employer 16. Industry Total number of your employees Citizen (a) Skilled. (b) Unskilled Non Citizen (a) Skilled (b) Unskilled 18. Job title. 19. Job description (Give a brief description of what an individual holding this Post is required to do in your undertaking Experience and other requirements (state estimated minimum period needed for a newly qualified worker to perform independently upon completion of the necessary training e.g. immediately after one year close supervision etc. 21. What efforts have you made to obtain job for the citizen? 22. Do you presently operate a scheme of in-service training or participate in any Government sponsored scheme of education programmes operated by any approved higher education/technical Institution to get a Tanzanian for the post. 23. IMPORTANT TO NOTE: (a) Employees will be required to submit return on Employment of Non-Citizens (TIF 19 to the Director of Immigration Services before 31 st March yearly. (b) State when you lastly submitted your Returns on Employment of Non-Citizens to this office. Date Signature of Employer with Official stamp PART IV (FOR OFFICIAL USE ONLY): 24. Comments of the Ministry of Labour and Manpower Development.... Date 20 Labour Commissioner 25. Action by Immigration Division.. Date. Director of Immigration Services
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