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Dar Es Salaam Maritime Institute: Please Write in Block Letters

This document is an application form for admission to bachelor's degree, diploma, competence, and certificate programs at the Dar es Salaam Maritime Institute. The application requests personal information such as name, address, contact details, as well as academic history including results from Form IV and Form VI national examinations. It also requests information on sea service experience if applicable, how the applicant plans to finance their studies, and their program choice which includes options in marine transportation, marine engineering technology, and science and management. The applicant must sign declaring the information provided is true before submitting the form along with supporting documents and payment of a 20,000 TZS application fee.

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Green Erick
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1K views2 pages

Dar Es Salaam Maritime Institute: Please Write in Block Letters

This document is an application form for admission to bachelor's degree, diploma, competence, and certificate programs at the Dar es Salaam Maritime Institute. The application requests personal information such as name, address, contact details, as well as academic history including results from Form IV and Form VI national examinations. It also requests information on sea service experience if applicable, how the applicant plans to finance their studies, and their program choice which includes options in marine transportation, marine engineering technology, and science and management. The applicant must sign declaring the information provided is true before submitting the form along with supporting documents and payment of a 20,000 TZS application fee.

Uploaded by

Green Erick
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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Passport

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DAR ES SALAAM MARITIME INSTITUTE

APPLICATION FOR ADMISSION TO BACHELOR DEGREE, DIPLOMA, COMPETENCE, CERTIFICATE PROGRAMS CLASS 2/1 OF NAVIGATION & ENGINEERING,
RATINGS FOR NAVIGATION & ENGINEERING , LOGISTICS & TRANSPORT AND CLEARING & FORWARDING FOR ACADEMIC YEAR 2013/2014

Please write in Block letters


Dar es Salaam Maritime Institute Tel: 255 22 2133646/2112478
P. O. Box 6727 Fax: 255 22 2112600
Dar es Salaam Email: [email protected]
Tanzania Website: www.dmi.ac.tz
1. PERSONAL INFORMATION
First Name Address for reply
Middle Name City
Surname Region
Gender Country
Marital Status
Date of Birth Phone number
Place Birth Mobile Number
Nationality Fax Number
E mail Address

2. STUDY PROGRAM APPLIED FOR AT DMI (see page 2)

3. NATIONAL FORM IV OR EQUIVALENT EXAMINATION RESULTS

S/N SUBJECT TAKEN GRADE DATE TAKEN EXAMINATION NUMBER INDEX NUMBER
1
2
3
4
5
6
7
Division Name of School
4. NATIONAL FORM VI OR EQUIVALENT EXAMINATION RESULTS

S/N SUBJECT TAKEN GRADE DATE TAKEN EXAMINATION NUMBER


1
2
3
4
Division Name of School
5. OTHER QUALIFICATION

Type of course
Name of School
College
City
Region
Please submit copies of all your academic certificates
NB: 1.This application shall be made available to an applicant upon payment of an application fee of 20,000/- only
2. Fees once paid are non refundable

6. STATEMENT OF SEA SERVICE (IF ANY)

1
Name of ship Date engagement Date of discharge GT/KW Served as

7. 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 2010/2011

MARINE TRANSPORTATION DEPARTMENT


1 Rating Forming Part Of Navigational Watch
2 Officer In Charge of Navigational Watch Class 5
3 Officer In Charge of Navigational Watch Class 3
4 Bachelor Degree in Maritime Transport
5 Master up to 3000GT
6 Diploma In Maritime Transportation (NTA Level 6)
7 Access Course For Basic Certificate In Marine Operations
8 Basic Certificate In Marine Operation (NTA Level 4)
9 Technician Certificate in Maritime Transportation (NTA Level 5)
MARINE ENGINEERING TECHNOLOGY DEPARTMENT
1 Rating Forming Part of An Engineering Watch
2 Officer In Charge of an Engineering Watch Class 3
3 2nd Engineer/Chief Engineer
4 Bachelor Degree in Marine Engineering and Technology
5 Diploma In Marine Engineering Technology (NTA Level 6)
6 Technician Certificate in Marine Engineering (NTA Level 5)
SCIENCE AND MANAGEMENT DEPARTMENT
1 NTA level 4 - Diploma in Clearing forwarding and Shipping Management
2 NTA Level 5 Diploma in Clearing forwarding and Shipping Management
3 NTA Level 6 Diploma in Clearing forwarding and Shipping Management
4 Business Foundation Certificate Course
5 International Advanced Diploma in Logistic & Transport
6 International Diploma in Logistic & Transport
7 International Certificates in Logistic & Transport

I declare that the information and documents provided are true and correct to the best of my knowledge.

Signature of applicants ……………………………………………………………… Date ……………………………………

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