KAF/DGS/BPS/ADM-FOM/01A

AFFIX

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KAIMOSI FRIENDS UNIVERSITY COLLEGE (KAFUCO)

DIRECTORATE OF GRADUATE STUDIES
APPLICATION FOR POSTGRADUATE STUDIES
REQUIREMENTS

NB: (i) Three Copies of this form should be submitted and returned to the
Director of Post graduate studies, Kaimosi Friends University College,
P.0. Box, 385-50309, KAIMOSI, KENYA, Tel: 0720078299
(ii) The form should be typed or completed in block Letters
Attach original application receipt. Application N0..........................
Attach a coloured passport size photo on each form
(iii) Send referee forms (3) direct to the Director, DGS
(iv) Attach copies of your Secondary School certificate, degree certificate,
official degree transcripts and any other testimonials on each duly
completed form.

Note: Your application must be accompanied with a non-refundable

processing fee of KES 2,000/= for E.African Studies or USD 50 for
non-E.African Students. (Account N0.01129698477700, Mbale Branch
at any branch of the Co-operative Bank)

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 SECTION A
1. Name:
..........................................................................................................
(Surname) (Other names in full)

2. Current Address: ................................................................................

.................................................................................
County: ...........................................................................................
Sub-county:........................................................................................
Location:...........................................................................................
Sub-location:......................................................................................
Village:.............................................................................................

3. Permanent Address ( if different from the current address)

..........................................................................................................
........................................................................................... ..............
4. Tel/Mobile N0(s):................................................................................
Email Address of student:......................................................................
5. Date of Birth: .........................................Sex........................................
6. Citenship:..............................................ID/Passport N0:.........................
7. Marital Status:.....................................................................................
8. Name and Address of next of king ( state relationship )

..........................................................................................................

..........................................................................................................

..........................................................................................................

2
 SECTION B
1. University and degrees you obtained including the classification. You should
attach copies of certificated and academic transcripts showing the grades
obtained in each course.
(a) First degree
(i) University attended:...................................................................

(ii) Dates attended:.........................................................................

(iii) Field of study:...........................................................................

( e.g. History, Economics , Physics, Chemistry, etc)

(iv) Degree awarded:.........................................................................
( e.g. BSc. Upper 2nd Class honors)
(v) Date awarded:............................................................................

(b) Second degree:

(i) University attended:...................................................................

(ii) Dates attended:.........................................................................

(iii) Field of study:...........................................................................

( e.g. History, Economics , Physics, Chemistry, etc)

(iv) Degree awarded:.........................................................................

( e.g. M.A(History); MSc. (Physics).

(v) Date awarded:............................................................................

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( c) Other degrees/ Diploma ( where applicable)

....................................................................................................

....................................................................................................

....................................................................................................

(d) Research Experience (if any)

( List of publications, research reports, dissertation, thesis etc)

Attach separate sheet if necessary

....................................................................................................

....................................................................................................

(e ) Employment Record:

Position Place of employment Date of employment (from –to)

............................ ................................ ...............................

............................ ................................ ................................

........................... ................................ . ................................

(f) Indicate competency in other languages other than English

.........................................................................................................

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 SECTION C
2. The graduate degree applied for:

(i) Name of degree:................................................................

(ii) School:…………………………………………………………………………………………………

(iii) Department:……………………………………………………………………………………….

(iv) Field of study/Subject:…………………………………………………………………………

(v) Mode of Study - Tick as appropriate

Part time

Full time

School- based

Weekend intensive

(vi) Proposed date of Commencement of study:……………………………………....

(vii) Expected date of Completion:……………………………………………………………….

(viii) Institution where research work is to be done if not at Kaimosi

Friends University College:…………………………………………………………………….

3. Name and address of finance sponsor:

.......................................................................................................

...............................................................................................

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4. Name and Address of THREE Academic Referees

(i) Name: ..................................................................................

Address:……………………………………………………………………………………………………….

Email (mandatory):…………………………………………………………………………………….

(ii) Name: ..................................................................................

Address:……………………………………………………………………………………………………….

Email (mandatory):…………………………………………………………………………………….

(iii) Name: ..................................................................................

Address:……………………………………………………………………………………………………….

Email (mandatory):…………………………………………………………………………………….

Applicant’s signature :........................................ Date:...........................

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 SECTION D
TO BE COMPLETED BY THE UNIVERSITY COLLEGE
(a) (i) RECOMMENDATION BY THE DEPARTMENTAL GRADUATE
STUDIES COMMITTEE (DGSC)

(Enter below ACCEPT OR REJECT as may be applicable)

……………………………………………………………………………………………………………………………….

………………………………………………………………………………………………………………………………

(ii) Give reasons for REJECTION

………………………………………………………………………………………………………………………………

………………………………………………………………………………………………………………………………

(iii) University Supervisor(s)

....................................................................................................

....................................................................................................

...................................................................................................

(iv) Other Supervisors

....................................................................................................

....................................................................................................

....................................................................................................

Signed by Chair, DGSC:.....................................................

Date:.........................................................................

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(b) RECOMMENDATION BY THE SCHOOL GRADUATE STUDIES
COMMITTEE (SGSC)

(Enter below ACCEPT or REJECT as may be applicable)

……………………………………………………………………………………………………………………….......

………………………………………………………………………………………………………………………………

Give reasons for REJECTION

………………………………………………………………………………………………………………………………

………………………………………………………………………………………………………………………………

Signed by Chair, SGSC:.............................................................

Date:................................................................................

(c) RECOMMENDATION OF THE BOARD OF DIRECTORATE OF GRADUATE

STUDIES (DGS)

(Enter below ACCEPT or REJECT as may applicable)

………………………………………………………………………………………………………………………..........

………………………………………………………………………………………………………………………………....

Registered with effect from:.................................................................

Signed:........................................................................................

DIRECTOR, DGS

Date: ..........................................................................................
Official Stamp