Postgraduates Form - University Of Eastern Africa, Baraton

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TEL: +254-20-8023018
University of Eastern Africa,
FAX: +254-20-8023017
Web Site:
Baraton
Email: registrar@ueab.ac.ke
Postal Address:
P.O. Box 2500,
ELDORET, KENYA 30100
Application for Admission to Graduate Studies
Please complete and sign this form and return it to the Registrar, University of Eastern Africa, Baraton, P.O. Box 2500, Eldoret, Kenya with:
1) A non-refundable application fee of US$ 30.00 or its equivalent in Kenya Shilling. 2) Certified photocopies of your College or University diplomas or
certificates. 3) Two recent passport-size photos. 4) Three letters of recommendation from your referees in sealed envelopes. 5) Two certified cop-
ies of official transcripts from each College and University that you have attended (Ask the concerned institution to send the transcripts directly to
the University). 6. Certified photocopy of your secondary school certificate. 7. Updated CV. If accepted you will be notified in writing. No applicant
should make arrangements to report to the University until he/she has received official letter of acceptance.
PART 1
PERSONAL DETAILS
Name: ________________________________________________________________________________________
RECENT
Last name
First name
Middle name
PASSPORT SIZE
PHOTO
Present Mailing address __________________________________________________________________________
____________________________________________________________________________
Telephone ______________________________Email Address _____________________________________________
Permanent Mailing address _______________________________________________________________________________________________________
1. Marital Status
Single
Married
Gender
Others
2.
Female
Male
3. Date of Birth
No
Yes
4. Are you coming with family?
Number of Children _______
Day
Month
Year
5. Place of Birth ____________________________________________________ 6. Country of Citizenship___________________________
7. Passport/National ID No. _________________________
8. Country of Residence____________________________
Other______________________________
Student Visa
9. If not a Kenyan but a resident of Kenya, what type of visa do you hold?
Year of entry to Kenya_________
10. Religious affiliation
SDA
Other_____________________________________________________
11. Name and address of Church where you are a member ______________________________________________________________________________
______________________________________________________________________________
12. Do you have any physical handicaps?
No
Yes, Explain __________________________________________________________________
PART 2 GENERAL BACKGROUND AND STUDY PREFERENCE (Refer to the attached information sheet to answer some questions in this section)
1. Name of College or University currently attending or last attended_____________________________________________________________________
2. Proposed date of entrance: Month ___________________Year _______________
3. Degree desired: M.A. MBA, MEd, MScN MPH, MSc. EdD. PhD,
Area______________________________________Option_________________
Executive Block Release
Full Time
Part Time (Block Release)
Which campus?_________________________
4. Mode of Study:
5. Language of instruction in home country___________________
Poor
Good
Poor
(b) Spoken
Excellent
Good
6. Proficiency in English: (a) Written
Excellent
____________________
7. Where do you plan to stay while attending University of Eastern Africa, Baraton?
Off Campus
On Campus
8. How will you finance your studies at UEAB?
Self-Sponsorship
Other, specify__________________________________________

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