TUITION

Located at Survey Area, Along Ardhi University/Makongo Road, Behind ESAURP Village Building, P. O. Box 34336, Dar es Salaam.

Tel. 0686989898[AIRTEL]         0744989898[VODA]         0753513084[VODA]

       

 

STUDENT’S ADMISSION FORM 

 

TUITION

 

 

 

S/N                                                                                                                                                 

1.  Full  Name_____________________________________________________

 

2.    ( i )  Date of Birth _____________________   (ii) Sex ( Male/Female) ______________________

         ( iii )  Nationality  ______________________ (iv) Religion: ______________________________

      ( v) Marital Status  ( Single / Married /  etc ) ______________________

 

Student’s Contact Address

         ( i )   P.O. Box        _____________________________________Tel ______________________

         ( ii )   Street______________________ Area  __________________District _________________

Parent’s/Guardian’s Contact Address:  

                                  

          ( i )  Father’s Name    ____________________________________     Tel.__________________

 

          ( ii )  Mother’s Name  ____________________________________    Tel.__________________

      

         ( iii )   Guardian           ____________________________________    Tel.__________________

 

         ( iv )   P.O. Box        _____________________________________________________________

 

         ( v )   Street______________________ Area  __________________District _________________

 

 

a)      Highest level of education reached.  (Standard Seven/ Form  I, II, III, IV, V, etc ) .......................

Teacher concern................................................................................

Course duration.................................................................................

Subjects.............................................................................................

 

Student signature.............................................

Teacher’s signature..........................................