NM-AIST

The Nelson Mandela

African Institute of Science and Technology (NM-AIST)

2.1 Application Information FORM NM-A101
Intended Degree Programme
Programme/Specialty to which admission is sought.
Mode of Study

As evidence of payment of application fee, please enter the transaction number as shown in the CRDB pay-in slip. If you are outside Tanzania enter N/A

2.2 Personal Data
Title
Surname
First Name
Middle Names (in full)
Birth date (click to get calendar)
Gender and Marital Status
Nationality

2.3 Contact Information
Country of Origin Town/City
Street Code/P.O. Box
Phone (start with country code) E-mail Address (s)    

2.4 Recommendations (Please submit particulars of TWO persons who you have asked to provide reference letters)
Name Name
Position Position
University University
E-mail E-mail

2.5 Sponsorship
  Name and Contact Address of Sponsor (If available)
Sponsorship Full Name:
If other specify

Address:
Landline/Mobile:
    Email:

3.1 Certification of Employment and Grant of Study Leave
If employed , please specify the organization you are working in.
Are you employed?


Organization: Position/Title:
Postal address:
Landline/mobile no:
Email: