University Of Dar Es Salaam - Application Form For Admission To Postgraduate Programmes Page 4

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REFEREE’S RECOMMENDATION FORM
PROGRAMME:...........................................................................................................................
PLEASE TYPE OR USE BLOCK CAPITALS IN BLACK INK AND WRITE INSIDE THE BOXES
Applicant
Please complete this section. Give this form to the person who
will act as your referee. Return your application form with a
sealed letter of recommendation
Surname/Family Name
Other names
Applicant’s Signature
Date
Reference
To enable us assess the candidate’s suitability for the Programme, we kindly request
that you evaluate the candidate in the areas indicated in the table below (Tick the
appropriate cell). Please indicate the applicant’s qualifications and potential to
undertake advanced study/research.
Describe the applicant’s motivation and
intellect and indicate both strong and weak points. Please write frankly. If the
applicant’s first language is not English, please comment on his/her ability to read,
write and speak English.
How long have you known the Applicant?
In what capacity?
|Excellent Good
Average Poor
Very
Poor
Intellectual Ability
Capacity for Original Thinking
Maturity
Motivation for Postgraduate Studies
English Language Proficiency
Written
Oral
Ability to work with others
Other capabilities/talents worth mentioning:
What do you consider to be the Applicant’s
weaknesses?
What is your recommendation on the suitability
of the applicant to the applied Programme?
Give any other additional comments that you
consider relevant about the applicant.
Referee’s name and
Contacts
Name
Title (Dr/Prof/Mr./Mrs./Miss/Ms)
Institution
Position
Postal Address
Telephone (Landline)
Mobile
Fax
E-mail
Referee’s Signature
Date
PLEASE ENCLOSE THE COMPLETED FORM IN A SEALED ENVELOPE AND SIGN IT ACROSS
THE SEAL. RETURN THE ENVELOPE TO THE APPLICANT, WHO WILL FORWARD IT WITH
HIS/HER APPLICATION TO RELEVANT FACULTY/COLLEGE.
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