MwanzaBaptistI

nsti
tute
P.OBox2957
Recent
Mwanza,Tanzani
a Passpor
tSize
Tel
.:0746506284 Photograph
oftheAp p
lic
ant
E-mail
:mbiad
missi
on@gmail
.com

OFFI
CEOFTHEACADEMI
CREGI
STRAR

APPLI
CATI
ONFORADMISSIONTOCERTIFICATE/
DIPLOMAPROGRAMS
FORTHE2020/
2021ACADEMICYEAR

Caref
ull
yr eadandunderst
andthefol
lowi
ngi nfor
mationb
eforeyouproceedwithc
ompl et
ingand
sub
mitti
ngt heappli
cati
on.
 Thi sformistobeusedonl
ybyappl
icantsseeki
ngadmi
ssi
onintoCerti
fic
ate/Di
plomalevel
Programs.

 Tobec ons
ider
edfort heMarchint
ake,appl
ic
antsmus
tlodgethei
rappli
cat
ionstotheOf f
iceof
theAcademicRegi
straratMwanzaBaptis
tInsti
tute(
MBI)notlatert
hanFebruary20,2020for
SeptemberIntake2020intake

 Certi
fiedcopi
esofac ad
emics’c
er t
ifi
cat
esorit
sequi
val
entsmus
tbeattac
hedtot hi
sappl
icat
ion
form.Pleasenotethatuncerti
fiedcopi
esofacad
emi
cdocument
swil
lnotbeac
c epted.At
regis
trationori
ginal
ss hal
lberequir
ed.

 Eac
hap p
lic
ati
onf or
mmus tb
eacc
omp ani
edb
yaTs
hs10,
000/
=ap
pli
cat
ionf
ee.Pl
eas
epayt
hisf
ee
attheMBIAccountsOf
fic
einMwanza.

_____________________________________________________________________________________
________

SECTI
ON1:PERSONALDATA
1 A
1. ppl
ic
ant
’sl
egal/
off
ici
alname(
Begi
nwi
thl
ast
)1

____________________________________________________________________________
1Stric
tlyuselegal
/off
ici
alnamesparti
cular
lyastheyappearony ourac
ademicdocuments

1.
2Gend
er(
Tic
k)____Mal
e____Femal
eDat
eofBi
rth(
Day
/Mont
h/Year
)____________________

1.
3Nat
ional
it
y________________________Count
ryofr
esi
denc
e________________________

1.4Rel
igi
ousaf fi
li
ati
on________________________I
fChr
ist
ian,s
tat
e
denomi
nation________________________

1.5Di
sabil
it
yifany( I
fp os
sibl
eattachac op
yofmed
icald
ocument
)
_______________________________________

1.6Currentpost
aladdress
__________________________________________________________________________________

Contac
tTelephone____________________________E-mai
l
Addr
ess________________________________________

1.
7Sour
ceoff
und
ingf
ory
ours
tud
iesatMBI
______________________________________
SECTI ON2:CHOI CEOFPROGRAMOFSTUDY
Choos eaminimumofoneandamaxi mumofthreep
rogramsofstudywhichy
ouaremos tqual
if
iedfor.
Indicateyourchoic
eb yord
erofpri
orit
y–1f oraprogr
amyouar egi
vinghi
ghes
tp r
iori
tyand3f ora
programy ouaregivingl
eastpr
ior
ity
Certi
ficatePrograms Durati
on EntryRequi
rement s Indi
cateyourchoic
e
(
e.g:1,
2,3)

Bas
icTechni
cianCer
tif
icat
e
i
nAccountancy
 The mi nimum ent ry
Bas
icTec
hni
cianCerti
fic
ate quali
f i
cationi
sf our(
4)
i
nCommunit
yDevelop
ment passes at D gr adein
any s ubject excl
udi
ng
Bas
icTechni
cianCerti
ficat
e 1year
rel
igious s ubject
s in
i
nBusinessAdmini
str
ation CSEE.

Di
plomapr
ogr
ams Dur
ati
on Ent
ryRequi
rement
s I
ndi
cat
eyour
c
hoi
ce(
e.g:1,
2,3)

Di
plomai
nAc
count
anc
y 2year
s  At least one p
rinci
p al
passwi tha subsid
iar y
i
n the Advanced
Certifi
cate of
Secondary Ed ucation
Examinati
on(ACSEE).

OR

Dip
lomainCommuni
ty 2year
s  A relevant Bas ic
Devel
opment Technician Cer t
ific
at e
(NTA Lev
el 4)
recognized by NACTE
withaGPAof3. 0wi th
Four( 4)p asses( D)i n
any s ubject excludi
ng
rel
igious s ubjects i n
Di
plomainBusi
nes
s 2year
s CSEE.
Ad
mi ni
str
ation

SECTION3:DECLARATI ON
3.1Itshouldbenotedbyallap
pli
cantsthatal
lcasesofimper s
onati
on,fals
ifi
cat
ionofdocumentsor
gi
v i
ngincorrec
tinformat
ion,etc.
,wheneverdi
scoveredeitheratregis
trati
onorafter
war dswil
lleadt
o
automaticCANCELLATIONOFADMI SSIONandthec as
ewi l
lber ep
ortedtotherel
evantTanzanial
egal
authori
ties
.

3.2Havi
ngnotedandunderst
oodtheimpl
icat
ionofimpersonati
on,fal
sif
icat
ionofdoc
umentsorgi
ving
incor
rec
tinformat
ion,et
c.,Iconf
irmthatallt
heinformationthatIhavegiveni
nthi
sformiscor
rect.

3.
3I ON(
NTAKESELECTI Choos
eoneamongt
hes
eint
akesbyput
tingaTI
CK)
(
a)Mar
ch2020i
ntake [
______]
 (
b)Sept
emb
er2020i
ntake [
______]
Signat
ureofApplic
ant____________________________________Dat
e
___________________________

Mailt
o:
mbiad
missi
on@gmai l
.com
Or
Submitacomplet
eappl ic
ationt
o:
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trar
MwanzaBapt i
stInsti
t ute
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Mwanza,Tanzani
a