APPLICATION FORM FOR ADMISSION TO DIPLOMA/CERTIFICATE IN LAW

Birth: &&&&&&&&&&&&&&&&&&&&&&&&&&&&&&..1.5 Citizenship: &&&&&&&&&&&&&&&&&........................... 1.6 Religion: &&&&&&&&&&. &&&&&&&&&&.<br><br> &&&&&&&&&&&&1.7 Marital Status: &&&&&&&&&&&&&&&&&&&&&&& 1.8 Postal Address:&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&.......................................................................... ............. 1.9 Telephone Number(s): &&&&&&&&&&&&.&&&.<br><br> e-mail: &&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&.. 1.10 Do you have any kind of disability? Yes/No.<br><br> If yes, please specify:&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&.. ( Note: This Information is required for the Institute to arrange appropriate means of assisting you once admitted. It will in no way affect the decision to admit you ) 2.0 EDUCATION BACKGROUND AND EMPLOYMENT RECORD: 2.1 Certificate of Secondary Education Examinations (CSEE)/ National Form IV/ or Equivalent ( Attach a copy on the form ).<br><br> Subject Grade Date Index No. Examination Authority: &&&&&&&&&&&&&&&&&&&&&..&&&&&&.. Division: &&&&&&&&&&&&&&&&&&&&&&&&&&&&&...........<br><br> Examination Centre or School: &&&&&&&&&&&&&&&&&&&&&&&&...Country: &&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&. IJA Application Form 2010/11 Page 2 of 3 2.2 Advanced Certificate of Secondary Education (ACSEE)/National Form VI or equivalent (Attach a copy on the form). Subject Grade Date Index No.<br><br> Examination Authority: &&&&&&&&&&&&&&&&&&&&&..&&&&&&.. Division: &&&&&&&&&&&&&&&&&&&&&&&&&&&&&........... Examination Centre or School: &&&&&&&&&&&&&&&&&&&&&&&&...Country: &&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&.<br><br> 2.3 Qualifications other than ACSEE (Form VI) or its equivalent (e.g. University Degree, Diploma or Certificate etc.):&&&&&&&&&&&&& &&&&&&& College/Institute:&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&& Award: &&&&&&&&&&&&&&&&&&&&&&&&&&&&&&. (Attach a copy on the form)&&&&&&&&&&&&&&&&&&&&&&.....<br><br> Subject Grade Date Index No. Examination Authority: &&&&&&&&&&&&&&&&&&&&&..&&&&&&.. Division: &&&&&&&&&&&&&&&&&&&&&&&&&&&&&...........<br><br> Examination Centre or School: &&&&&&&&&&&&&&&&&&&&&&&&...Country: &&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&. 2.4 Post A-level Education: Have you attended this Institute or any other Institutions of Higher Learning before? Yes/No If yes, provide details in the table below.<br><br> Subject Grade Date Index No. IJA Application Form 2010/11 Page 3 of 3 2.5 Employment Record Please give details of your employment record in the table below S/N Name of Employer Post Held Dates 3.0 APPLICATION FEE AND SPONSORSHIP: 3.1 Indicate the applicant 9s name as written in the Bank Pay-in- Slip of the non-refundable application fee:&&&&&&&&&&.&&&&&&&.. (Note: The original Pay-in- Slip must be attached to this form).<br><br> 3.2 Give full name, address, relationship and a letter of commitment from your sponsor(s). Full Name of Sponsor Postal Address Telephone Numbers Relationship Declaration I declare that all information given in this form is correct. Signature of Applicant: &&&&&&&&&&&&&&&&&&&&&&&&.&&& Date: &&&&&&&&&&&&&&&&&&&&&&&&&&& ( Note: The information given in this form will be used for admission purposes only.<br><br> Non-disclosure of details or provision of fa lse information to any of the section in this form, if discovered, shall render your registration with the Institute of Judicial Administration-Lushoto cance lled ). FOR OFFICIAL USE ONLY Application form has been received by the Admission Officer, Institute of Judicial Administration Lushoto. Name of Officer: &&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&.&&&&&&&&&&&&&&&&&&&&&&&&&&& Signature&&&&&&&&&&&&&&&&&&.&&&&&&&&&&&&&&&&..<br><br> Date: &&&&&&&&&..&&&&&&&&&&&&&&&&.. Decision by the Pre-Selection Committee &&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&& Decision by the Academic Planning, Examinations and Students 9 Affairs Committee (APESAC): &&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&.. &&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&..<br><br> (IJA) INSTITUTE OF JUDICIAL ADMINISTRATION LUSHOTO FEE STRUCTURE FOR BOTH DIPLOMA AND CERTIFICATE IN LAW PROGRAMMES FOR 2010/11 ACADEMIC YEAR A: FEES PAYABLE DIRECTLY TO THE INSTITUTE: 1. TUITION FEE (ANNUALLY) TSHS. 900,000/= 2.<br><br> REGISTRATION FEE (ONCE) 34,500/= 3. EXAMINATIONS FEE (ANNUALLY) 55,500/= 4. CAUTION MONEY (ONCE) 20,000/= 5.<br><br> IDENTITY CARD (ANNUALLY) 5,000/= 6. MEDICAL EXPENSES (ANNUALLY) 50,000/= TOTAL T SHS.1,065,000/= NB: Medical Expenses will only cover basic medical needs provided by the Institute 9s Dispensary. The Institute will not be responsible for referral medical expenses outside the Institute 8s dispensary.<br><br> B: ALLOWANCES PAYABLE DIRECTLY TO THE STUDENT (DIRECT STUDENT COSTS): 1 BOOKS AND STATIONERY ALLOWANCE (ANNUALLY) 100,000/= 2 CAMPUS ACCOMMODATION (ANNUALLY) 245,000/= 3 MEAL ALLOWANCE (ANNUALLY) 857,500/= 4 STUDENTS 9 GOVERNMENT 10,000/= TOTAL 1,212,500/= C: SPECIAL ALLOWANCES FOR SPECIAL REQUIREMENTS (PAYABLE DIRECTLY TO THE STUDENT): 1. SPECIAL ATTIRE 150,000/= 2. FIELD ATTACHMENT ALLOWANCE (Per day ) 15,000/= IJA Application Form 2010/11 Page 5 of 3 (IJA) INSTITUTE OF JUDICIAL ADMINISTRATION LUSHOTO General line: 2640133 P.O.<br><br> Box 20, Fax: 255-27-2640287 Lushoto 3 Tanzania. Director of Studies: 2640284 Registrar: 2640009 Bursar: 2640285 IJASO: 2640045 www.ija.ac.tz . PHOTO NB: (i) The above rates for special requirements are recommended minimum rates only.<br><br> (ii) Field attachment training is an integral part of each programme conducted at the Institute. Sponsors are required to support the student(s) during this period, by paying to the student(s) at least the amount as per Government directives from time to time. The duration of the attachment is sixty (60) days for the Diploma in Law Programme and thirty (30) days for the Certificate in Law Programme.<br><br> D: GENERAL INFORMATION: (i) An academic year has two Semesters which last for 245 days (ii) Fees, once paid, are Not Refundable . (iii) Direct Institute fees are to be paid in full to the Principal, IJA - LUSHOTO, at the commencement of the Academic Year i.e when students report for registration . (iv) Fees do Not include allowances such as transport, incidental expenses, etc.<br><br> (v) The Institute deserves the right to change the rate of fees at any time during the year as deemed fit. (vi) Students are expected to pay for their incidental expenses, for such things as toilet soaps, toothpaste, laundry expenses, etc. from their own pockets.<br><br> Sponsors are also required to support students to meet these expenses. (vii) Students are required to bring with them a crossed cheque (in case of Government Sponsored Students) Banker 9s Draft or T.T made payable to the Institute of Judicial Administration Fees Account, NMB-Lushoto Branch A/C No. 4161100043 (viii) Any Private payments to students through Institute 9s Account shall be charged 2% as Bank charges.<br><br> NB: 1. Cash payments will not be accepted; 2. Money for private use or incidental expenses should never ever be deposited into the Institute 9s bank account.<br><br>

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