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THE INSTITUTE OF FINANCE MANAGEMENT
WEEK-END COLLEGE
REVIEW CLASSES FOR THE TANZANIA INSTITUTE OF BANKERS’S
EXAMINATIONS
APPLICATION FORM (FOR JUL - NOV 2012)
FOR OFFICIAL USE ONLY
RECEIPT
NUMBER
DATE OF
RECEIPT
AMOUNT
REGISTRATION AND
TUITION FEE
SUBJECTS:
_____________ ________________ _____________
____________
ADMISSION NUMBER: TIOB/_______________________
I.
INSTRUCTION
1. This form is to be completed with the applicant and sponsor/employer
2. The applicant should return the form with two passport size photos-one stamped
on the space provided the other for an identification card.
3. The form should be given back with registration and tuition fees.
4. If the applicant will be sponsored by an organization, the organization’s
nominating official should fill and stamp in section VI
5. All payments should be made
Management Bank Account:
and addressed to The Institute of Finance
CRDB; PPF TOWER BRANCH
DAR ES SALAAM
AC/ NO: 01J1042984102
Payment slip should be taken to:
IFM Block A, Third Floor, Room 320
II.
REVIEW STAGE AND SUBJECTS APPLIED FOR
(Please tick the appropriate)
Banking Certificate
Certified professional
Banker
TICK
1.
Principles of Economics
1.
Financial Analysis
2.
2.
Management Practice
3.
Principles of Marketing and
Business Ethics
Accounting
3.
4.
5.
Principles of Banking
Principles of Law
4.
5.
6.
Principles of Management
6.
7.
Information Technology
7.
The Monetary and
Financial Systems
Law Relating to Banking
International Trade
Finance
Strategic Marketing
Management
Lending
8.
Financial Services
TICK
NAME OF THE STAGE AND LEVEL/MODULE YOU ARE APPLYING FOR:
__________________________________________________________
III.
APPLICANTS PERSONAL PARTICULARS
SURNAME ___________________________________________
FIRST NAME:_________________________________________
MIDDLE NAME: ______________________________________
DATE OF BIRTH:______________________________________
SEX: ___________________PLACE OF BIRTH:_____________
MARITAL STATUS:___________________
NATIONALITY:_________________________
ADDRESS:_____________________________________________________
TELEPHONE NUMBERS:__________________________________________
E-MAIL ADDRESS:______________________________________________
PERSON TO BE NOTIFIED IN CAE OF EMERGENCY:
NAME: _______________________________________________________
ADDRESS:_____________________________________________________
TELEPHONE NUMBER (S) __________________________________
IV.
EDUCATION BACKGROUND
NAME OF SCHOOL
CERTIFICATION
YEAR OF COMPLETION
V.
PROFESSIONAL QUALIFICATIONS( FOR PRE-QUALIFIED APPLICANTS)
NAME OF
QUALIFICATION
YEAR OF COMPLETION
INSTITUION OR BOARD
VI.
APPLICANT’S SERVICE PARTICULARS (FOR IN –SERVICE PPLICANTS)
CURRENT EMPLOYER:____________________________________
DEPARTMENT/SECTION: ________________________________
POSITION: ________________________________________
EMPLOYEMTN ADDRESS: __________________
TELEPHONE NUMBERS: ______________________________________
E- MAIL ADDRESS_______________________________
V.
SPONSOR’S CERTIFICATION (IF ANY)
THE UNDERSIGNED (NAME OF SPONSOR):
_____________________
AND ON BEHALF OF (NAME OF AGENCY OR ORGANIZATION):
____________________________________________________
AND IF ACCEPTED, UNDERTAKE TO PAY FOR ALL THE EXPENSES
RELATED TO THE COURSE
SIGNATURE:_________________ DATE: __________________
(OFFICIAL STAMP)
VI.
APPLICANT’S DECLARATION
I CERTIFY THAT ALL THE ABOVE INFORMATION IS CORRECT AND TRUE
TO THE BEST OF MY KNOWLEDGE AND BELIEF.
FULL NAME OF APPLICANT:_____________________________
SIGNATURE: _________________________ DATE: ___________
Further information may be obtained in person or in writing from:
The Coordinator,
Week-end College
Shaaban Robert Street
IFM Block A, Ground Floor, Room G.20
P.O. Box 3918, Tel.(022) 2112931-4 Fax (022) 2112935
DAR ES SALAAM