Jkuat Appl
Jkuat Appl
AFFIX
PHOTOGRAPH
HERE
(ii)
Eight copies of this form for PhD and Four copies for Masters or Postgraduate Diploma
Courses should be completed and returned to: The Director, Board of Postgraduate Studies,
Jomo Kenyatta University of Agriculture and Technology, P.O. Box 62000, 00200 NAIROBI
This form should be typed or completed in BLOCK LETTERS
SECTION A
1.
..
(First Name)
(Other Names)
2.
Employer.......................................
5.
7.
8.
9.
Date of Birth......
10.
Nationality.........
11.
Identity Card No
12.
13.
Religion.............
14.
SECTION B
....
....
....
....
....
....
F-2-3-15-1
15.
University education and qualifications obtained (state the dates you attended the University
Institution, the qualifications obtained, including classification e.g. First / Upper Second Class
Honours). You should attach copies of the degree certificates and academic transcripts
showing the grades obtained in each course.
(a)
First Degree
(i) University attended ....
(ii) Dates attended....
(iii) Field of Study..
(iv) Degree awarded .......
(v) Date awarded .
(b)
(c)
16.
17.
The postgraduate course applied for (Applicants should consult the Department and Faculty /
Institute /School before completing this section)
(a) Name of degree
(b) Department........
(c) Faculty............
(d) Field of Study.....
(e) Full-time / part-time (Select as appropriate)
(f) Method of study: (choose one by deleting appropriately below)
(i)
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19.
Name two persons who are prepared to act as your referees. They should be well placed to report
on your potential as a postgraduate student in your chosen field of study and preferably should
have been your lecturer in degree courses. You should also fill in two request letters issued
together with this form and forward them to your referees directly so that they can send their
reference to the Director, Board of Postgraduate Studies without delay. (Referees are not required
for JKUAT academic Staff Members)
Name
Address .....................
TelephoneMobile No.
Email.
Name ..............
Address ..............
TelephoneMobile No..
Email.
20.
Signature of Applicant
Date...............................................................................................................................................
SECTION D
Recommendation by supervisors:
(i) First supervisor
.
.
.
Name...
Signature.
Date........................................
ii) Second supervisor
.
.
.
Name .....
Signature
Date .......
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23.
Recommendation by the Faculty / School / Institute Postgraduate Studies Committee (Enter below
ACCEPT or REJECT as may be applicable)
24.
Name of Director:
Signature: ...........
Date .................