Masters Application Form

INSTITUTE OF ACCOUNTANCY ARUSHA
(IAA)
Attach one
recent
passport size
photograph
Ref No. _________________
ADMISSION APPLICATION FORM FOR MASTERS PROGRAMMES FOR 2019/20

ACADEMIC YEAR
This form must be filled and sent to reach the Admissions Office on or before 15th July, 2019.
1. PERSONAL INFORMATION
Name: ______________________ ____________________ _____________________

(First) (Middle) (Last)
Present Mailing Address: _________________________________________________
Mobile No: ____________________ Email: __________________________
Date of Birth: ____________Place of Birth______________ Nationality: ___________
Gender: Male Female

Marital Status Single Married
NB: The names entered on this form should be the same as those on your academic certificate(s)
2. PLACE OF STUDY (CAMPUS)
S/N NAME OF CAMPUS CONTACTS TICK YOUR CHOICE

1 Arusha Main Campus Box 2798, Arusha.
Phone: 255 027 2541415/6, 0784-542778
Website: www.iaa.ac.tz
2 Dar Es-Salaam Campus Box 69007, Dar-Es-Salaam
Phone: 255 22 2864823; 0655-289545
NB: Please send the duly filled application forms to the respective Campus.
3. PROGRAMME IN WHICH ADMISSION IS SOUGHT
Masters Programmes: Tick where

appropriate
Master of Business Administration -Information Technology Management (MBA-ITM)
Master of Business Administration (MBA)
Master of Business Administration –Procurement and Supplies Management (MBA-PSM)
Master of Science- Finance and Investment (MSc.FI)
Master of Software Engineering (MSE)
1
Master of Information Security (MIS)
4. ACADEMIC QUALIFICATIONS ATTAINED:
a. Certificate of Secondary Education: (C.S.E.E)/ National Form IV or

Equivalent
Index No: ____________________ Division ______________ Year _____________

Name of School _____________________________________________________________
Examination Center/School ____________________________________________________
Examinations Authority _______________________ Country ______________________
S/NO. SUBJECT GRADE S/NO. SUBJECT GRADE

1. 6.
2. 7.
3. 8.
4. 9.
5. 10.
b. Advanced Certificate of Secondary Education: (A.C.S.E.E)/ National Form VI or

Equivalent
Index No: ____________________ Division ______________ Year _____________

Name of School ___________________________________________________________
Examination Center/School __________________________________________________
Examinations Authority _______________________ Country ____________________
S/NO. SUBJECT GRADE S/NO. SUBJECT GRADE

1. 4.
2. 5.
3. 6.
c. Give details of all colleges, universities or other educational institutions attended
dates Major field Advanced

INSTITUTION country from to of study Dipl/Degree Class
award
d. Have you applied for admission to other Institutions?
Yes [ ] No [ ]
If yes please list names of the Institutions

___________________________________________________________
_________________________________________________________________
e. In case of any physical or communication disabilities tick whichever is appropriate.
2
Vision/ Mobility/ Hearing/ Others (Specify) ________________________________
If any of the above give details of disability
___________________________________________________________________
5. PROFESSIONAL EXPERIENCE
Indicate number of years of working experience_____________________
List all jobs held for the past two years: (if applicable)
S/NO FROM TO COMPANY POSITION

1
2
3
4
6: REFEREES
Kindly provide names of three referees one of them should be your current employer and
make sure they have dully filled the attached reference form. The form should be signed
and sealed by the referee and posted by the applicant together with the application form.
Names of Referees and mobile-mail, Postal address of referee.

1. _____________________________________________________________
____________________________________________________________
2. _____________________________________________________________
_____________________________________________________________
3. ___________________________________________________
___________________________________________________
7: MODE OF SPONSORSHIP
Applicants from all nationalities can apply under self sponsorship or through their employers.
Tick the option which is applicable:
 Private Sponsorship
 Others (Specify) _______________________
Name and Address of Sponsor _____________________________________

______________________________________________________________
Signature of Sponsor ___________________ Date _____________________
3
8: DECLARATION BY THE APPLICANT
I do solemnly affirm and declare that information given in this Admission Application Form is
true and correct to the best of my understanding and belief. I do understand that any wrong
information may result in the cancellation of my Admission and Registration with IAA.
I also declare that I am an applicant for admission to study at IAA and if admitted I shall
observe all regulations, rules and directives issued by the Institute.
I also declare, I understand that any tuition, registration or examination fee(s) once paid to
IAA shall not be refundable in any circumstances whatsoever.
Signature of applicant: ________________ Date: __________________
NB:
 Applicants are required to print out and fill this application form and mail it by the
address indicated in the form. The duly filled in application form must be
accompanied with an application letter and certified copies of certificates and
transcripts. The form must also be accompanied with non-refundable application fee
of Tshs. 50,000/= payable through the Institute’s Bank accounts.
 It is important that you indicate your mobile number and e-mail address for ease of
communication.
Items to attach
1. Copies of Academic certificate transcript and certificates

2. Copies of leaving certificates
3. Copy of Birth certificate or Affidavit
4. One recent passport size
5. Three reference letters( in a well sealed envelope)

f. Immigration Formalities:
Every foreign student is required to apply for and obtain a Residence Permit from
the Director of Immigration Services before he/she leaves for Tanzania. Residence
Permit Application Forms can be obtained from the Director of Immigration Services,
P.O. Box 512, Dar es Salaam, Tanzania.
4
INSTITUTE OF ACCOUNTANCY ARUSHA
(IAA)
P. O. Box 2798, Arusha, Tanzania

Phone: 255 027 2541415/6, 9605-6/6096/9415/6 Telex 50009 IAA TZ
Fax: 255 027 254 9421 e-mail: [email protected]
REFERENCE FORM FOR MASTERS DEGREE PROGRAMME
Part I: To be completed by applicant.
Make sure to provide the referees with a description of the proposed programme and the
means by which they can return completed form to you in a sealed envelope.
This form must be filled and sent to reach the Admissions Office on or before 15th July, 2019.
1. APPLICANT’S NAME
Name: ______________________ ____________________ _____________________

(First) (Middle) (Last)
NB: The names entered on this form should be the same as those on his/her academic certificate(s)
2. PROGRAMME IN WHICH ADMISSION IS SOUGHT
Bachelors Programmes: Tick where

appropriate
Masters of Business Administration in Information Technology (MBA-ITM)
Management
Masters of Business Administration (MBA)
Masters of Business Administration in Procurement and (MBA-PSM)
Supplies Management
Masters of Science Finance and Investment (MSc-FI)
Masters of Software Engineering (MSE)
Masters of Information Security (MIS)
5
Part II to be filled by referee.
Dear Sir/Madam,
The above named applicant has trusted and chooses your name as one of the referee to
support his/her application for Masters Programme. Although the reference can take any
format as appropriate, we will accept completion of this form as an acceptable form of
reference.
Thank you for your kind cooperation.

NB: Your comments will not be revealed to anybody.
1. How long have you known the candidate?

___________________________________________________________________________
_____________________________________________________________________
2. What Capacity in which you know the applicant
________________________________________________________________________
________________________________________________________________________
3. Comments on the applicant’s academic ability. Does the applicant demonstrate the
following?
 An appropriate academic background for the course selected? Y/N

 High level of analytical skills? Y/N
 Commitment to intensive academic activity? Y/N
 An ability to plan his/her work Y/N
 Independent working? Y/N.
4. Comments on the applicants’ professional capabilities (if any)

___________________________________________________________________________
___________________________________________________________________________
__________________________________________________________________
5. Any other comments relevant to applicant’s suitability for the Postgraduate study on the
course identified.
___________________________________________________________________________
___________________________________________________________________________
__________________________________________________________________
I confirm that the applicant is personally known to me and that the details I have given are
correct to the best of my knowledge and judgment.
Name:_________________________________________________________________
Position_________________________________________________________________
Mobile phone____________________________________________________________
E-mail:________________________________________________________________
.
Signature______________________________ Date______________________________

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INSTITUTE OF ACCOUNTANCY ARUSHA

Ref No. _________________

ADMISSION APPLICATION FORM FOR MASTERS PROGRAMMES FOR 2019/20

Name: ______________________ ____________________ _____________________

Present Mailing Address: _________________________________________________

Mobile No: ____________________ Email: __________________________

Date of Birth: ____________Place of Birth______________ Nationality: ___________

Gender: Male Female

2. PLACE OF STUDY (CAMPUS)

S/N NAME OF CAMPUS CONTACTS TICK YOUR CHOICE

3. PROGRAMME IN WHICH ADMISSION IS SOUGHT

Masters Programmes: Tick where

4. ACADEMIC QUALIFICATIONS ATTAINED:

a. Certificate of Secondary Education: (C.S.E.E)/ National Form IV or

Index No: ____________________ Division ______________ Year _____________

S/NO. SUBJECT GRADE S/NO. SUBJECT GRADE

b. Advanced Certificate of Secondary Education: (A.C.S.E.E)/ National Form VI or

Index No: ____________________ Division ______________ Year _____________

S/NO. SUBJECT GRADE S/NO. SUBJECT GRADE

c. Give details of all colleges, universities or other educational institutions attended

dates Major field Advanced

d. Have you applied for admission to other Institutions?

If yes please list names of the Institutions

S/NO FROM TO COMPANY POSITION

Names of Referees and mobile-mail, Postal address of referee.

 Others (Specify) _______________________

Name and Address of Sponsor _____________________________________

Signature of Sponsor ___________________ Date _____________________

Signature of applicant: ________________ Date: __________________

1. Copies of Academic certificate transcript and certificates

P. O. Box 2798, Arusha, Tanzania

REFERENCE FORM FOR MASTERS DEGREE PROGRAMME

Part I: To be completed by applicant.

Name: ______________________ ____________________ _____________________

2. PROGRAMME IN WHICH ADMISSION IS SOUGHT

Bachelors Programmes: Tick where

Thank you for your kind cooperation.

1. How long have you known the candidate?

 An appropriate academic background for the course selected? Y/N

4. Comments on the applicants’ professional capabilities (if any)

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Name: __ _

Mobile No: Email: ______

Date of Birth: Place of Birth Nationality: _

Index No: ______ Division Year _

Index No: ______ Division Year _

Signature of Sponsor _ Date ___

Signature of applicant: Date: __

Name: __ _