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KUTOKA FACEBOOK NA TWITTER KUHUSU KIFO CHA SAJUKI.

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BONGO MOVIES, facebook, SAJUKI, twitter, VIFO

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S/N Name of Employer Post Held Dates 4.0 Programme Sought in Order of Preference(Select from the list attached) Order of Preference Faculty Programme Code Full Name of Programme 1 st Choice 2 nd Choice 3 rd Choice 5.0 Language fluency: Language Spoken Written Fair Good Very good Fair Good Very good Academic year 2011‐2012 6.0 Referees Names and addresses of two referees who know your ability as a student and can assess your competence in written and spoken English (a) Full Name: ….………………..……....………………………………………..……………….………. Address:….………………..……....………………………………………..……………….………….. (b) Full Name: ….………………..……....………………………………………..……………….………. Address:….………………..……....………………………………………..……………….…………… 7.0 Sponsorship The sponsor should indicate here that the candidate would receive financial support for years he or she will spend at St.Augustine University. Name of sponsor: …....………………………………………..……………….……………………………… Address: ….………………..……....………………………Tel …………………………………….. Business OR Activity ….………………..……....……………Fax/ E-mail………………………….. I …………………………………………………..confirm that my Organization will give full financial support to…………………………………………………………………During the period of his/her education at St.Augustine University if he/she is accepted. Date ……………………………….signed…………………………………………. Official stamp or seal Declaration I declare that all information given in this form is correct. Signature of Applicant: …………………....………. Date.………………………………………….……… 8.0 PAYMENTS. Your non-refundable application fee of Tshs 20,000/= or US $ 25 should be paid to St. Augustine University of Tanzania via Bank Account number: 015101001461 NBC Ltd. Mwanza Branch (No Cheques are accepted) 9.0 ATTACHEMENTS. Please include the following with this application: (a) A medical Doctor’s Certificate stating that you are fit to follow this course. (b) Two (2) passport size photos of yourself (Colored). 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