Form Reg.29
BAHIR DAR UNIVERSITY
APPLICATION FORM FOR ADMISSION TO THE
GRADUATE PROGRAM
This Application form should be filled using BLOCK letters
Academic Year ________________
1. The applicant hereby applies for admission to the Graduate Program at the:
2. Personal information:
Name: _________________________
Grand father’s name: ________________
Father’s name:
_____________________
Data of birth:
______/______/_____
dd mm yy
Nationality:
_______________
Sex:
____________
Current address: ….………………………………………………………………………
……………………………………………………………………………
……………………………………………………………………………
Telephone: ………………………… Mobile …………………………….
E-mail: …………………………………………………………………………………….
3. Professional background
Academic degree obtained from recognize institution
Title of degree Subjects Institution /University Year of completion
Any other education after upper secondary level (certificates to be enclosed):
Type of education Place of education Examination year/semester
Name of the Graduate Program (MA, MSc, MED) in ______________________________
Faculty /College /School/Institute/ of: _____________________________
Form Reg.29
Work experience after obtained first degree. (use a separate sheet if necessary)
Employer Position held Period of time from
____ to ____
References
4. Financial support during study period
Bahir Dar University does not give scholarships. If you have sponsored please fill the
separate sponsorship form. If you do not have sponsorship, you shall pay 500 Birr per
Cr.hr. and for thesis work 3000 Birr for regular program. For continuing education
program 600 Birr per Cr.hr. and for thesis work 3000 Birr.
5. The following documents are to be enclosed with the application:
1. First degree certificate one copies
2. First degree official transcript one copies
3. Letter of sponsorship (if you have sponsor)
6. Signature:
I certify that the statements made by me in answer to the above questions are true,
complete and accurate to the best of my knowledge.
Date: ______________________ ___________________
Signature of the applicant
NB: The application with enclosements must be delivered in one copy.