Bahir dar university



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RECOMMANDED FOR POST GRADUATE PROGRAM



KIREMT


BAHIR DAR UNIVERSITY

COLLLEGE OF SCIENCE

CUSTOMERS’ RELATION AND INFORMATION

EXPERT CASE TEAM

APPLICATION FORM FOR ADMISSION TO THE

GRADUATE PROGRAM

This Application form should be filled using BLOCK letters

Academic Year…………………

1
Name of the Graduate Program : MSc, in Chemistry

College Science
. The applicant hereby applies for admission to the Graduate Program at the:



2

Name: _______________________________Father’s name:___________________

Grand father’s name:____________________________

Data of birth: Nationality: sex:

_____/_____/__________ _______________________ _______

dd mm yy
Current address:____________________________________________________

________________________________________

Telephone: ________________Mobile__/__/__/__/__/__/__/__/___/___/___/

E-mail: _____________________________________
. Personal information:







3. Professional background


Academic degree obtained from recognize institution

Title of degree

Subjects

Institution

Year of completion



























Any other education after upper secondary level (certificates to be enclosed):

Type of education

Place of education

Examination year/semester


Work experience after obtained first degree. (use a separate sheet if necessary)

Employer


Position held

Period of time form ___ to___

References



4. Financial support during study period

Bahir Dar University does not give scholarships. If you have sponsored please fill the separate sponsorship form. If you do not have sponsorship, you shall pay 500 Birr Per Cr.Hr. and for this work 3000 Birr for regular program. for Continuing education program 600 Birr Cr.Hr. and for thesis work 3000 Birr.


5. The following documents are to be enclosed with the application:


1. First degree certificate (One copies)

2. First degree official transcript (One copies)

3. Letter of sponsorship (if you have sponsor)



6. Signature:


I certify that the statements made by me in answer to the above questions are true, complete and accurate to the best of my knowledge.

Date: ………………………………….. …………………………..



Signature of the applicant


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