memorandom to: tanzania program students, fall 2016...memorandom to: tanzania program students, fall...
Post on 11-Aug-2020
0 Views
Preview:
TRANSCRIPT
MEMORANDOM
TO: TanzaniaProgramStudents,Fall2016 FROM: EmilyGaul,AssistantDirectorDATE: March1,2016RE: UDSMForms___________________________________________________________________________Please find the attached forms to complete for your UDSM registration.Please print off the forms single‐sided ‐ double sided copieswill not beaccepted.Foreachform,thereisamemothatoutlineswhatneedstobedone. ThefollowingformswithpassportphotosareduetomebyMay1,2016: ResidencePermitApplication TanzaniaImmigrationDepartment–ResidencePermitDataSheet UDSMApplicationForm UDSMStudentRegistrationForm Resume Copyofyourpassport 12Passportsizephotos(inadditiontothepassportphotosneeded
oneachform)(Pleaseconsiderusinganonlineprogramorphotoeditortoprintthese–itisamuchcheaperoptionthangoingtoWalgreensbutbesuretheyarethecorrectsizeandprintedonphotopaper.)
UDSMMedicalFormB(providedinaseparatePDF) ACMReportofMedicalHistoryForm(providedinaseparatePDF)
Itisessentialthatallformsarecompletedcorrectlyandsubmittedon‐time. If forms are not turned in on‐time you may not be able toparticipate intheprogram. Again,allof these formsaredue tomeonMay1.If you have any questions, please contact me either by email(egaul@acm.edu)orphone312‐561‐5919.
ApplicationforFirstGrant/ReplacementofResidencePermit‐Tanzania
Thefollowingareinstructionsforcompletingformsyourresidencepermit(whichwillbeissuedonceyouareinTanzania).Pleasereadthismaterialcarefully,asyoureligibilitytostudy at UDSM depends on the suc c e s s f u l c o m p l e t i o n o f t h e s e f o r m s . A f t e r y o u h a v e completed theenclosed forms,please send them toACMno laterthanMay1.Pleasefindbelowalistofmoredetailedinstructions.
Pleaserefertotheexampleprovidedbelow.
YoudoNOTneedtoattachfivephotographstothisapplication.SimplypasteONEphotographintheupperrighthandcorner.
Do NOT fill out any information past Part 1. Please leave the rest of theapplicationblank.
Please send your completed application to the ACM byMay 1. I f y o u h a v e a n y questions,pleasefeelfreetocontactmeategaul@acm.eduor312‐561‐5919.
Sendthehardcopyto:
AssociatedCollegesoftheMidwestAttn:EmilyGaul11E.Adams,Suite800Chicago,IL60603
PASPHOTO
OAPPLI
HETHE UNITED REPUBLIC OF TANZANIA
Dossier Number ……………………………………
APPLICATION FOR FIRST GRANT/RENEWAL OF RESIDENCE PERMIT CLASS A/B/C (THE IMMIGRATION ACT, 1995)
IMPORTANT:
Applications for Residence Permit Class A and C should be forwarded to the Director of Immigration SP.O box 512, Dar es Salaam. Applications for class B (employees) should be forwarded to the DirectoImmigration Services through the Labour Commissioner, P.O Box 9014, Dar es Salaam.
Five photographs should be attached to application forms.
PART 1 – PARTICULARS OF APPLICANT I HEREBY APPLY FOR FIRST GRANT/RENEWAL OF RESIDENCE PERMIT CLASS…………………
1. Full name MR/MRS/MISS: ............................................................……………………….…………
2. Marital Status……………………………………………………………………………………….……
3. Home Address: ........................................................................……………......……………………
4. Address while in Tanzania…………………………………………………………………...…………
5. Place of Birth:..............................………..........………. Date of Birth: ………….....………….……
6. Nationality: ............................................................……………………………………………………
7. Passport No: ....................…....... Date of Issue: ..………................... Place of Issue………….…
8. Height………….…………… Colour of eyes……….…………..………. Colour of hair……...………
9. Academic qualifications held…………..……………………………………… Photocopies of Certi
or other proof should be attached.
10. Profession/Occupation/ for self employed applicants state specifically what type of business yo
carrying on…………. ...............................………………………...………......................................
11. (a) Place of intended Residence in Tanzania: Region: ............……....….District: .…………....…
Area ……………………………………….Street…......……………………………………….………
(b) Place of Work in Tanzania: ....……………........…............………….. Region...........…………
District………………………….…………………………………………………………….……….……
12. Application for Residence Permit will be required to execute one of the following conditions:
(1) General Security Covenant
(2) Bank Bond (U$ 1,000)
(3) Cash Deposits (U$ 1,000)
13. Particulars of any previous application for residence permit to Tanzania stating whether or not
have been granted or refused…………………………..………………………………………………
DECLARATION 14. I …………………………………………………THE APPLICANT, HEREBY DECLARE THAT TH
AFOREGOING ARE CORRECT IN EVERY DETAIL.
Date …………………………………………Signature of Applicant…………..……………………………
PART II – PARTICULARS OF ACCOMPANYING FAMILIES To be completed only by applicants who wish their non Tanzanian wives and children under 18 ye
age to reside with them in Tanzania.
Full Name Relationship to Applicant Date of Birth
………………………………. ……………………………………………………. ………………………
………………………………. ……………………………………………………. ………………………
TIF. 1
TE GRAPH F CANT RE
ervices r of
………..
………
………..
……….
….…….
……….
………
………
……..
ficates
u are
........….
…….....
……......
…..……
………
they
……..
E
………
ars of
……….
……….
………………………………. ……………………………………………………. ……………………………….
………………………………. ……………………………………………………. ……………………………….
………………………………. ……………………………………………………. ……………………………….
………………………………. ……………………………………………………. ……………………………….
PART III – EMPLOYMENT INFORMATION – (To be completed by Employer if Applicant seeks to take up or continue with specific employment in Tanzania).
NOTE: It is the Government’s policy that the economy of Tanzania should be manned by trained and
competent citizens. Resident Permit (or renewal therefore) for employment in Tanzania are issued to non-
citizens with skills not available at present in Tanzania labour market only on the understanding that
effective training programmes in service or other wise are undertaken with a specified period to produce
trained citizens competent to replace them. For further information contact the appointment Bureau of the
Ministry of Labour and Manpower Development, Dar es Salaam.
15. Name of Employer………………………………………………………………………………………………
16. Industry…………………………………………………………………………………………………………..
17. Total number of your employees
Citizen……………………………… (a) Skilled…………………………. (b) Unskilled……………………
Non Citizen………………………… (a) Skilled………………………… (b) Unskilled
18. Job title…………………………………………………………………………………………………………….
19. Job description (Give a brief description of what an individual holding this Post is required to do in
your undertaking…………………………………………………………………………………………………..
20. Experience and other requirements (state estimated minimum period needed for a newly qualified
worker to perform independently upon completion of the necessary training e.g. “immediately after
one year close supervision etc.”
21. What efforts have you made to obtain job for the citizen?……………………………………………………
………………………………………………………………………………………………………………………
22. Do you presently operate a scheme of in-service training or participate in any Government sponsored
scheme of education programmes operated by any approved higher education/technical Institution to
get a Tanzanian for the post…………………………………………………………………………………….
………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………
23. IMPORTANT TO NOTE:
(a) Employees will be required to submit return on Employment of Non-Citizens (TIF 19 to the
Director of Immigration Services before 31st March yearly.
(b) State when you lastly submitted your Returns on Employment of Non-Citizens to this office.
Date…………………… 20……….. ……………………………………………….
Signature of Employer with Official stamp
PART IV – (FOR OFFICIAL USE ONLY): 24. Comments of the Ministry of Labour and Manpower Development……………………………………..
………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………….
Date …………………………… 20…… …………………………………………………………
Labour Commissioner
25. Action by Immigration Division………………………………………………………………………………
………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………….
Date…………………………………… ………………………………………………………….
Director of Immigration Services
TanzaniaImmigrationDepartment–ResidencePermitDataSheet
ThefollowingareinstructionsforcompletingtheresidencepermitdatasheettoaccompanyyourresidencepermitapplicationPleasereadthismaterialcarefully,asyoureligibilitytostudy at UDSM depends on the suc c e s s f u l c o m p l e t i o n o f t h e s e f o r m s . A f t e r y o u h a v e completed the enclosed forms,please send them toACMno laterthanMay1.Pleasefindbelowalistofmoredetailedinstructions.
Attachonepassportsizephotototheleftcorner USECAPITALLETTERSwhenfillingouttheform Nonottickanyboxesinthe“appropriateclass”section
PartI–ParticularsastoEmployee1. Yourfirstname2. Middlename3. Lastname4. Leaveblank5. Dateofbirth6. Age7. Gender–MorF8. Placeofbirth–City,State,Country9. Homeaddress–street,city,state,country10. Passportnumber11. Dateofpassportissue12. Dateofpassportexpiry13. Passportcountryofissue14. Nationality15. Countryoforigin
PartII–ProfessionalInformation16. Jobtitle/occupation–Student17. Profession–student18. AcademicQualifications–UniversityStudent19. RegistrationBoard–leaveblank20. TermsofEmployment–leaveblank
PartIII–Dependents‐LeaveBlank
PartIV–ParticularsastoInstitution/Individual25. Institution–UniversityofDaresSalaam26. Location–DaresSalaam27. PostalAddress–LinksOffice,UDSM,Box35901,DaresSalaam28. Placeofwork–leaveblank29. Placeofresidence(inTanzania)–UniversityofDaresSalaam30. Industry/Sector–University32. InvestmentSector–leaveblank
33. Telephonenumber–leaveblank34. Mobilephonenumber–leaveblank35. Emailaddress–enteryouremailaddress
PartV–DeclarationbyInstitution/Individual36. Signanddate
Please send your completed application to the ACM by May 1. I f y o u h a v e a n y questions,pleasefeelfreetocontactmeategaul@acm.eduor312‐561‐5919.
Sendthehardcopyto:
AssociatedCollegesoftheMidwestAttn:EmilyGaul11E.Adams,Suite800Chicago,IL60603
PASSORT SIZE
WHITE BACKGROUND Tick the appropriate Class CLASS
1st Grant
size 3.5cm x 4.5cm 2nd Grant
Official stamped Returned Grant
Replacement
USE CAPITAL LETTER
dd mm
6 Age GENDER
……………………………………………………………………………………………………..
……………………………………………………………………………………………………..
dd mm yyyy dd mm
EXPIRY DATE
PASSPORT NUMBER:
A B
HOME ADDRESS
C
TANZANIA IMMIGRATION DEPARTMENT
ALL INFORMATION IS MANDATORY AND WILL APPEAR ON YOUR RESIDENCE PERMIT
serial No…………………………………..
3 SURNAME/LASTNAME
1 FIRST NAME:
12DATE OF ISSUE:
SECOND NAME:
11
RESIDENCE PERMIT DATASHEET TO BE COMPLETED BY INSTITUTION/INDIVIDUAL
yyyy
7
9
OTHER NAMES:
8 PLACE OF BIRTH:
2
yyyy
10
PART I - PARTICULARS AS TO EMPLOYEE
DATE OF BIRTH:
4
5
F/M
1 of 2
EXPIRY DATE
……………………………………………………………………………………………………..
JOB TITTLE/OCCUPATION ……………………………………………………………………………………………………….
PROFESSION ……………………………………………………………………………………………………….
(Master,Degree,Dip or Certificate)
REGISTRATION BOARD ………………………………………………………………………………………………………. e.g CRB,NBAA,NMMB e.t.c
DATE OF BIRTH
…….……………………………………………………………TERMS OF EMPLOYMENT:
15
……………………………………………………………………………………………………..
12
PART III - DEPENDANTS
DATE OF ISSUE:
COUNTRY OF ORIGIN:
11
16
PART II - PROFESSIONAL INFORMATION
17
NATIONALITY14
13 COUNTRY OF ISSUE:
……………………………………………………………………………………………………..
RELATION
18
19
20
ACADEMIC QUALIFICATION:
SURNAMESECOND NAMES/NO.
21
22
23
24
FIRST NAME PASSPORT NUMBER
………………………………………………………………
NATIONALITIES
1 of 2
PART IV - PARTICULARS AS TO INSTITUTION /INDIVIDUAL (As written on TF1 )
……………………………………………………………………………………………………..
…………………………………………………………………
e.g. Mining
LARGE MIDDLE: SMALL OTHERS (Specify) …………………..
……………………………………………………………………………………………………..
Do HEREBY SOLEMNLY and sincerely declare that to the best of my knowledge and belief the
particulars stated in Part I,II,III & IV of this Data sheet are true, and in event of my application
being granted, I undertake to abide by Immigration laws and the Laws of United Republic of
I,…………………………………………………………………………………………………………………………………………………………………………………36
PLACE OF WORK
INSTITUTION :
MOBILE PHONE NUMBER
PLACE OF RESIDENCE (in Tanzania)
INDUSTRY/SECTOR
TELEPHONE NUMBER
……………………………………………………………………………………………………..
35 E-MAIL ADDRESS
34
28
29
POSTAL ADRESS
25
LOCATION :
32 INVESTIMENT SCALE:
……………………………………………………………………………………………………..
27
PART V - DECLARATION BY INSTITUTION/INDIVIDUAL
33
30
26
2 of 2
Signature of Institution/Individual with Official stamp
……………………………………………………………………………………………………..
NAME AND RANK OF OFFICER ATTENDED HEADQUATER/REGION SIGNATURE
……………………………………………………………….. ……………………………………. ………………………………
PART VI - FOR OFFICIAL USE ONLY
Declared at ……………………………………………… this ………………………… day of ………… 20 ………………
being granted, I undertake to abide by Immigration laws and the Laws of United Republic of
Tanzania.
38
37 DOSSIER NUMBER:(DN)
…………………………………………………………………
2 of 2
UniversityofDaresSalaamApplicationFormforAdmissionforShort‐TermStudent
The following are instructions for completing forms for enrollment at the University of Dar esSalaam. Please read thismaterial carefully, as your eligibility to study atUDSMdepends on thesuccess fu l complet ion o f these forms . A f ter you have completed the enclosedforms, please send them to the ACM by May 1. Please find below a list of more detailedinstructions.
UniversityofDaresSalaamApplicationforAdmissionforShortTerm/OccasionalStudent:
CompletethefollowingnumbersusingBLOCKCAPITALS:
1. FamilyName:yourlastnameOthernames:yourfirstnameGender:MorFDateofBirth:d/m/yearNationality:forexample,USA
2. EntryQualifications:YoudoNOTneedtoincludeacopyofyourtranscript.Undergraduateyear:junior/seniorCourse:pleaselistyourmajorOtherQualifications:leaveblank
3. ApplicantContactAddress:pleaseuseyouhomeaddress4. FinancialsponsorforUniversityfees:leaveblank5. Areyouapplyingasashort/termoccasionalstudent:alreadyfilledout6. Choiceofcoursesanddurationofstudy:leaveblank7. Signanddate
Whenyouarefinishedfilling‐outtheblankapplicationform,papercliptwopassport‐sizephotosovertheboxintheupperright‐handcorner.
PleasesendyourcompletedUniversityofDaresSalaamformstotheACMbyMay1.Ifyouhaveanyquestions,pleasefeelfreetocontactmeategaul@acm.eduor312‐263‐5000.
Sendmaterialsto:
AssociatedCollegesoftheMidwestAttn:EmilyGaul11EastAdams,Suite800Chicago,IL60603
University of Dar es Salaam Two photos APPLICATION FORM FOR ADMISSION FOR SHORT-TERM/OCCASIONAL STUDENT
1. Family Name………………………………Other names……………..…………………………
Gender…….Date of Birth…………………….… Nationality………………….……….………
2. Entry Qualifications: Please attach transcript
i) Undergraduate year …………………….……... Course …………………..……………..
ii) Other qualifications…………………..…………….……….…..………………….…………
3. Applicant’s Contact Address:……………………………………………………………………
……………………………………………………………………………………………………….
4. Financial sponsor for University fees (enclose guarantee letter)
5. Are you applying as a short-term/occasional* Student? ……………………………..……..… one year/ one semester (Please specify) 6. Choice of courses and duration of study (specify):
Course: i) B.A / B. A. Education ii) B. Sc. Gen./ Geology/ Computer/ Electronics/Education iii) B.Sc. Eng. iv) B.Com. v) LL.B. (Laws) vi) Faculty of Informatics and Virtual Education (FIVE) vii) Faculty of Aquatic Sciences and Technology (FAST) viii) Faculty of Civil Engineering and Built Environment ix Faculty of Electrical and Computer Systems Engineering x Faculty of Mechanical and Chemical Engineering
7. Applicant’s signature:………………………………………...Date:……………………………. 8. Sending College/University recommendation/verification/remarks
………………………………………………………………………………………………………
Name ………………………….….……………………….…..,….…. …………………..…….…
Address……………………….……………………………………………………………………..
………………………………. …….………………………………………………..………………
Signature and official stamp………………………………………………………………………
*Short-term studentship: 1 academic year. Occasional studentship: one semester.
UniversityofDaresSalaamStudentRegistrationForm–DegreeProgrammes
ThefollowingareinstructionsforcompletingformsforenrollmentattheUniversityofDaresSalaam.Pleasereadthismaterialcarefully,asyoureligibilitytostudyatUDSMdependson the successful completion of these forms. After you have completed the enclosedforms,p l e a s e s e n d t o t h e A C M b y May1. P l e a s e f i n d b e l o w a l i s t o f m o r e d e t a i l e d instructions.
UniversityofDaresSalaamStudentRegistrationForm:Complete thehighlightednumbersusingBLOCKCAPITALS:1,2,3,4,5,6,7,8,11,12,18a,19,20a,20b,20c,21a,21b,21c,and24.Whenyouarefinishedfilling‐outtheblankStudent Registration form, staple a passport‐size photo (does not need to be black andwhitephoto)overtheboxintheupperright‐handcorner.
PersonalResume:PleasesendtotheACMacopyofyourpersonalresume.Yourresumedoesnotneedtobeextensive.Aone‐page,simplifiedversionisfine.
Please send your completed University of Dar es Salaam forms and a copy ofyour resume to the ACM by May1. I f you have any ques t ions , p l ease f ee l f ree to contac t me a t egaul@acm.eduor312‐263‐5000.
Sendmaterialsto:
AssociatedCollegesoftheMidwestAttn:EmilyGaul11E.Adams,Suite800Chicago,IL60603
top related