MARIAN UNIVERSITY COLLEGE

P.O.Box 47, LandLine / Mobile : +255232440130, Email : dpacademic@maruco.ac.tz, Website :

www.maruco.ac.tz

APPLICATION FORM
Person Particulars

First Name : Proscovia Country of

Tanzania, United Republic of
Last Name : Gabriel Residence :
Other Name : Jastine Disability : None
Sex : F Application Year : 2020/2021
Birth Date : 01-01-2001 Round : Round III
Place of Birth : karagwe Application Type : Bachelor
Marital Status : Single Entry Category : Form VI
Nationality : Tanzanian
Contact Information

Mobile 1: 255713026392 Postal Address :

Mobile 2 : Physcal Address :
Email : proscoviajastine@gmail.com
Parents / Guardians / Next of Kin Information

Next of Kin 1 Next of Kin 2

Name: ELICK STEPHANO Name:
Mobile 1 : 255743439722 Mobile 1 :
Mobile 2 : Mobile 2 :
Email : elickstephano2@gmail.com Email :
Postal : P.O.Box 80712 Dar es salaam Postal :
Relation : UNCLE Relation :

Application Fee Payment

Your Reference Number for payment is : SAS1061420260

S/No Invoice No Control No Receipt Amount Trans Time
Total 0.00

Education Background

O-Level Certificate
Examination Authority : NECTA
Center Name : MUSABE GIRLS SEC SCHOOL
Index Number : s5344/0032/2017
Programme Title :
Programme Title :
G.P.A/Grade : I
Country : Tanzania, United Republic of
Completed Year: 2017

SUBJECT LIST

S/No. CODE SUBJECT GRADE

1 041 BASIC MATHEMATICS B

MARIAN UNIVERSITY COLLEGE

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 MARIAN UNIVERSITY COLLEGE
P.O.Box 47, LandLine / Mobile : +255232440130, Email : dpacademic@maruco.ac.tz, Website :
www.maruco.ac.tz

S/No. CODE SUBJECT GRADE

2 033 BIOLOGY B
3 032 CHEMISTRY B
4 031 PHYSICS C
5 022 ENGLISH LANGUAGE B
6 021 KISWAHILI C
7 013 GEOGRAPHY B
8 012 HISTORY C
9 011 CIVICS C

A-Level Certificate
Examination Authority : NECTA
Center Name : KAIZIREGE SECONDARY SCHOOL
Index Number : s4631/0582/2020
Programme Title :
Programme Title :
G.P.A/Grade : II
Country : Tanzania, United Republic of
Completed Year: 2020

SUBJECT LIST

S/No. CODE SUBJECT GRADE

1 141 BASIC APPLIED MATHEMATICS C
2 133 BIOLOGY D
3 132 CHEMISTRY D
4 131 PHYSICS C
5 111 GENERALSTUDIES E

Attachment

No attachment found
Programme Choices

First Choice : Bachelor of Science with Education

Second Choice : Bachelor of Science with Education
Third Choice : Bachelor of Science with Education
Fourth Choice : Bachelor of Science with Education

Declaration

I, Proscovia Jastine Gabriel hereby declare that the information given in this form is true to the best of my knowledge

MARIAN UNIVERSITY COLLEGE

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