FISHERIES TRAINING INSTITUTE
P.O. BOX 124,
ENTEBBE – UGANDA.
Telephone: 256 – 414 – 323010.
Email:
[email protected] OFFICE OF THE ACADEMIC REGISTRAR
APPLICATION FORM FOR ADMISSION
A copy of this form should be completed by the applicant and returned to the
Institute.
Course applied for (Chose from list on page 2)
………………………………………………………………………………………….
1. Academic year: ………………………………………………………………………..
2. Surname: ……………………………………………………………………………...
3. Other names: …………………………………………………………………………..
4. Date of birth: …………………………………………………………………………..
5. Citizenship: ……………………………………………………………………………
6. Home district …………………………………………………………………………...
7. Postal /Email Address:
………………………………………………………………………………………….
…………………………………………………………………………………………..
Tel.No.………………………………………………………………………………….
8. Secondary Schools and colleges attended (attach copies of certificates)
i) O’ Level
Name of school Index No. Date of attendance
………………………. …………………. …………………………..
……………………….
ii) A’ Level
Name of School Index No Date of attendance
……………………. ………………. ………………………
…………………….
iii) College (where applicable).
Name of Institution Award Date of attendance
………………………… ………………….. …………………………..
..……………………….. …………………..
1
9. Other qualifications (indicate dates and attach copies of Certificates).
…………………………………………………………………………………………
…………………………………………………………………………………………
………………………………………………………………………………………….
10. Employment record (where applicable).
…………………………………………………………………………………………
…………………………………………………………………………………………
…………………………………………………………………………………………
Names and address of two referees.
i) Name: ……………………………………………………………
ii) Address: ………………………………………………………………………
………………………………………………………………………………….
………………………………………………………………………………….
iii) Name: ………………………………………………………………………….
Address: ………………………………………………………………………
…………………………………………………………………………………
………………………………………………………………………………….
11. Declaration by applicant:
I declare that to the best of my knowledge the information given above is correct.
Signature of applicant ……………………………. Date ……………………………..
NOTE:
1. Names must be those that appear on the applicant’s academic documents.
(Attach copies of your documents)
2. Courses offered include: -
(i) Certificate in Fisheries Management and Technologies (2 years)
(ii) National Certificate in Agricultural Production (2 years)
(iii) Certificate in Boat building Technology and Marine Mechanics (2 years)
(iv) Diploma in Fisheries Management and Technologies (2 years)
(v) Diploma in Integrated Aquaculture and Agriculture (2 years)
(vi) Up-grading Diploma in Fisheries Management & Technologies (1 year)
(vii) Up- grading Diploma in Boat Building Technology & Marine Mechanics (1year)
