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Form 002 Postgraduate Application Form Revision

This document is an application form for admission to postgraduate studies at the University of Embu. It requests information such as the applicant's personal details, qualifications obtained from previous institutions attended, practical work experience, proposed course of study and mode of study. The applicant must attach original copies of application fee payment, academic certificates, transcripts, identification documents and photographs. The completed form should be returned to the Deputy Vice-Chancellor of the university for consideration.

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maurice wanyonyi
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25 views

Form 002 Postgraduate Application Form Revision

This document is an application form for admission to postgraduate studies at the University of Embu. It requests information such as the applicant's personal details, qualifications obtained from previous institutions attended, practical work experience, proposed course of study and mode of study. The applicant must attach original copies of application fee payment, academic certificates, transcripts, identification documents and photographs. The completed form should be returned to the Deputy Vice-Chancellor of the university for consideration.

Uploaded by

maurice wanyonyi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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REVISION 3 UoEm-F-ADMS-002

Affix one of your


current passport
size photographs
here

UNIVERSITY OF EMBU
APPLICATION FORM FOR ADMISSION TO POSTGRADUATE STUDIES
Details of courses offered and their entry requirements can be obtained from the University website on
http://www.embuni.ac.ke

NOTE;
1. The form should be typed or completed and copies returned to the Deputy Vice-Chancellor
(Academics, Research and Extension), P.O. Box 6 – 60100 Embu.
2. The following should be attached to the application form; (a) original copy of the application fee
deposit slip for the payment of the non-refundable application fee of KShs 2000 for East Africans
and USD 50 or its equivalent for Non East Africans for Master’s degree programmes and KShs 4000
for East Africans and USD 50 or its equivalent for Non East Africans for Ph.D degree programmes,
(b) copies of professional and academic certificates and transcripts, (c) appointment letter (if
employed), (d) copy of National Identity Card, and (e) two good quality passport photographs.

SECTION A – Course Application Details

1. Name of postgraduate course applied for


2. Field of Study/Specialization
3. Department School of

4. Mode of study (Tick)


Full time Evening Weekend Open learning Institutional Based

5. Research institute where you will undertake your work if not at this University
6. Indicate how you intend to finance your studies
7. Name and address of two academic referees
Name Address
1

SECTION B – Applicant’s Personal Details


1. Names (in full)
(Surname) (First Name) (Others)
Postal Address Postal Code Town/City
Constituency County Country
Telephone E-Mail

Knowledge Transforms

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REVISION 3 UoEm-F-ADMS-002

Date of Birth Gender:


Marital Status Nationality Religion
National Identity Card No. Passport No
2. Name of Next of Kin Relationship
Address Postal Code Town/City Country
Telephone E-Mail
3. Emergency Contact (Name, if different from the above)
Address Postal Code Town/City Country
Telephone E-Mail
4. Do you have any form of disability? YES/NO
If yes, indicate the nature of disability
SECTION C – Institutions Attended by the Applicant and the Qualifications Obtained
List all institutions attended and the qualification obtained starting with the latest:
Institutions Attended From: To: Qualification Obtained
(Month and Year) (Month and Year)
i) Academic

ii) Professional

Please attach copies of certificates and academic transcripts.


SECTION D – Applicant’s Practical/Work Experience (Where applicable)
List your work experience
From To Employer Designation Nature of Assignment

SECTION E – Applicant’s Declaration


I declare that the information given herein is true and accurate to the best of my knowledge and fully
understand that any information found to be false would lead to automatic disqualification.
Applicant’s Full Names ID/Passport No
Date Applicant’s Signature

Knowledge Transforms

Page 2 of 2

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