DAR ES SALAAM MARITIME INSTITUTE
APPLICATION FOR ADMISSION TO BACHELOR DEGREE, DIPLOMA, COMPETENCE CERTIFICATE PROGRAMS CLASS 2/1 OF NAVIGATION & ENGINEERING,
OFFICER OF NAVIGATION & ENGINEERING , LOGISTICS & TRANSPORT AND SHIPPING AND LOGISTICS FOR ACADEMIC YEAR 2014/2015
Please write in Block letters
Dar es Salaam Maritime
Institute
P. O. Box 6727
Dar es Salaam
Tanzania
Tel: 255 22 2133646/2112478
Fax: 255 22 2112600
Email: [email protected]
Website: www.dmi.ac.tz
1. PERSONAL INFORMATION
First Name
Address for reply
Middle Name
City
Surname
Region
Gender
Country
Marital Status
Phone number
Date of Birth
Mobile Number
Place Birth
Fax Number
Nationality
E mail Address
2.
STUDY PROGRAM APPLIED FOR AT DMI (see page 2)
3.
NATIONAL FORM IV EXAMINATION RESULTS RELATED TO ADMISSION QUALIFICATION
S/N
1
2
3
4
5
6
7
4.
S/N
1
2
3
4
5.
SUBJECT TAKEN
GRADE
DATE TAKEN
Division
Name of School
INDEX NUMBER
NATIONAL FORM VI EXAMINATION RESULTS RELATED TO ADMISSION QUALIFICATION
SUBJECT TAKEN
GRADE
DATE TAKEN
Division
Name of School
EXAMINATION NUMBER
OTHER QUALIFICATION
Type of course
GRADE
Name of College
City
Region
Please submit copies of all your academic certificates
6.
EXAMINATION NUMBER
STATEMENT OF SEA SERVICE (IF ANY)
1
Current
Passport
size Photo
Name of ship
7.
Date engagement
Date of discharge
GT/KW
Served as
FINANCING
How do you plan to finance your studies at DMI
Self-sponsorship
Government Sponsorship/Company
Sponsorship by other employers
Higher Education Students’ Loans Board
8.
ADDITIONAL INFORMATION IF ANY
9.
PROGRAMS OFFERED AT DMI FOR ACADEMIC YEAR 2014/2015
MARINE TRANSPORTATION DEPARTMENT
1
2
3
4
5
6
7
8
9
Master and Chief Mate
Officer in Charge of a Navigational Watch
Master Near- Coastal
Officer in Charge of a Navigational Watch Near-Costal (OOW <500gt)
Bachelor Degree in Maritime Transportation
Ordinary Diploma in Maritime Transportation (NTA Level 6)
Technician Certificate in Maritime Transportation (NTA Level 5)
Basic Certificate in Marine Operations (NTA Level 4)
Access Course for Basic Certificate in Marine Operations
MARINE ENGINEERING TECHNOLOGY DEPARTMENT
1
2
3
4
5
6
Chief and Second Engineer Officer
Officer in Charge of an Engineering Watch
Officer In Charge of Engineering Watch Less Than 750 Kw (Marine Engineer Officer Class 4)
Bachelor Degree in Marine Engineering and Technology
Ordinary Diploma in Marine Engineering (NTA Level 6)
Technician Certificate in Marine Engineering Technology (NTA Level 5)
SCIENCE AND MANAGEMENT DEPARTMENT
1
2
3
4
5
6
7
NB:
NTA level 4 - Diploma in Shipping and Logistics (ABMA-UK)
NTA Level 5 Diploma in Shipping and Logistics (ABMA-UK)
NTA Level 6 Diploma in Shipping and Logistics (ABMA –UK)
International Advanced Diploma in Logistic and Transport (CILT-UK)
International Diploma in Logistic and Transport (CILT-UK)
International Certificates in Logistic and Transport (CILT-UK)
Introduction to Certificate of Logistic and Transport (CILT-UK)
1.This application shall be made available to an applicant upon payment of an application fee of 30,000/ or USD
30- only
2. Application Fees is non-refundable
3. Any postponed after registration your fee paid will be deducted for 1/3
4. After admission any postponed should be communicated
5. Please attach with copy of Application fee receipt
I declare that the information and documents provided are true and correct to the best of my knowledge.
Signature of applicants ………………………………………………………………
2
Date ……………………………………

bcit : : school of transportation : : marine schedule

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REF – Combined Institution Events List, Spring 2007