ARBA MINCH UNIVERSITY
Office of the Registrar
Application for the Graduate Program of 2014/15 A.Y.
Section I Admission Data
INSTRUCTIONS
Attach here your
1. SUBMIT THE FOLLOWING ALONG WITH THE APPLICATION: recent passport-
A. One copy of OFFICIAL TRANSCRIPT should be mailed directly to the size photograph
Registrar Office by your previous institution showing your full
ARBA MINCH UNIVERSITY
face
Office of the Registrar
P.O.BOX 21
ARBA MINCH, ETHIOPIA
B. ORIGINAL DEGREE and STUDENT COPY with ONE COPY OF EACH
C. A receipt of ETB 40.00 (local applicant) or US$ 80.00 (international student) application fee
2. SEE THE NOTICE BOARD AND WRITE YOUR CHOICE:
College//School/Institute _________________________________Program_________________________
Applied for PhD MA MSc Post Graduate Certificate Specialty Certificate Specialty Diploma
Post-doc
3. MODALITY OF THE STUDY:
Regular Extension/Evening Distance Summer
4. WRITE YOUR EDUCATIONAL BACKGORUND HERE:
Under Graduate: University: _________________CGPA: ___.__ Field of Study:_______________________
Post Graduate: University: ___________________CGPA: ____.___ Field of Study:____________________
5. PERSONAL DETAILS:
5.1 Full name: _______________________ _________________________ ______________________
First Name Fathers Name Grandfathers Name
5.2 SEX: Male Female
5.3 Date of birth: (E.C.) ____________ ___________________ _________________
Day Month Year
(G.C.) ____________ ___________________ _________________
Day Month Year
5.4 Nationality: ______________________________________________________________________
5.5 Contact address: Cell Phone* _____________________________ E-mail:* __________________
1
Section II Financial Assistant ship
1. Ministry of Education_______________________________________________
(Name of University)
2. Government Office __________________________________________________
(Name of sponsoring organization
3. Self
4. If you are not a sponsored candidate, please tick the nature of financial assistance you may be seeking if any.
(i) Tuition fee waiver only (applicable under rare cases)
(ii) Tuition fee waiver & scholarship (applicable under rare cases)
(iii) Tuition fee waiver & Teaching Assistant ship
(iv) Financial assistance not required
Section III References
1. There should be at least two confidential reports.
These should be from amongst your Teachers/ Instructors during your degree programme or your recent employer. List the
name of these referees and their addresses.
_____________________________________________________________________________________________________
_______________________________________________________________________
(The reports should be sealed by the referee and you may attach it with this application or ask them to mail directly)
Section IV Comments (Optional)
1. Additional relevant details that could not be given from section I to V may be given here.
_____________________________________________________________________________________________________
_______________________________________________________________________
Certify that information provided in this application is true & correct. I understand that providing in conformation of false
information may result in cancellation of my admission.
__________________________________ _____________________________________
Signature Date