ruaha university college (ruco)

Re: Application Materials
Dear Prospective Student,
RUAHA UNIVERSITY COLLEGE (RUCO)
A Constituent College of St. Augustine University of Tanzania (SAUT)
P.O. BOX 774 IRINGA- TANZANIA
Tel: 255- 26-2702431 Fax: 255-26 –2702563 E-mail: ruco@ruco.ac.tz
Thank you for your interest in Ruaha University College (RUCO), Iringa. Attached are the necessary forms
for applying to RUCO.
The following items must accompany your application for admissions before it will be processed:
a) Completed Application Form
b) 20,000/= non-refundable application fee for Tanzanians and U$ 20 for non-Tanzanians
c) Certified copy of “O” Level Certificate
d) Certified copy of “A” Level Certificate
e) Certified copies of other Certificate(s)/Diploma (s) with Transcripts
f) Medical Examination Form
g) Two Passport-size photographs (taken within the past six months)
h) Certified copy of Birth Certificate (affidavits are not acceptable).
Our foreign applicants are also required to submit the following additional items:
i) Two completed immigration Forms TIF.1
j) 5 passport-size photographs (light blue background)
k) US. $120.00 student Visa processing fee
l) Curriculum Vitae (CV).
Please complete and return at your earliest convenience and return before 27 th May 2012 along with the nonrefundable
application fee payable to NBC Iringa Branch, Ruaha University College 028103005680 OR
Tanzania Postal Bank (TPB), RUAHA UNIVERSITY COLLEGE Account No. 020-0000271.
An assessment of your application will be performed after all the materials have been received.
Regards,
Admissions Team.
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RUAHA UNIVERSITY COLLEGE (RUCO)
A Constituent College of St. Augustine University of Tanzania (SAUT)
P.O. BOX 774 IRINGA- TANZANIA
Tel: 255- 26-2702431 Fax: 255-26 –2702563 E-mail: ruco@ruco.ac.tz
Please tick the programme you are applying for under the choice box. Please, Indicate your choice priority.
PROGRAMMES CHOICES
No. Programme (BACHELOR) Duration 1 st Choice 2 nd Choice 3 rd Choice
1
Bachelor of Laws, (LLB)
2 Bachelor of Science in Computer Science (Information
Systems)
Bachelor of Science in Computer Science (Software
Engineering)
3 Bachelor of Accounting and Finance with Information
Technology (BAFIT).
Bachelor of Environmental Health Sciences with
4 Information Technology (BEHSIT)
[2]
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4 years
3 Years
3 Years
3 Years
3 years
5 Bachelor of Business Administration (BBA) 3 Years
6
APPLICATION FORM FOR ADMISSION 2012/2013
Bachelor of Arts with Education (BA.ED)
3 years
Attach a
passport
sized
photo here
No. Programme (DIPLOMA) Duration 1 st Choice 2 nd Choice 3 rd Choice
1 Diploma in Computer Science 2 years
2 Diploma in Medical Laboratory Sciences 3 years
3 Diploma in Pharmaceutical Sciences 3 years
4 Diploma in Law 2 years
5 Diploma in Business Administration 2 years
No. Programme (CERTIFICATE) Duration 1 st Choice 2 nd Choice 3 rd Choice
1 Certificate in Computer Science 1 year
2 Certificate in Medical Laboratory 2 years
3 Certificate in Law 1 year
4 Certificate in Business Administration 1 year
5 Certificate in Library Information Studies 1 year

[Please write in Block Letters] II PERSONAL INFORMATION
First Name
Middle Name
Surname
Gender
Marital
Status
Date of Birth
Place of Birth
Tribe
Name of Institution Years
Attended
III. EDUCATIONAL BACKGROUND
Areas of Specialization
Awards
IV. FINANCIAL SUPPORT FOR STUDIES
Sponsor Name
Mailing Address
City, Region, Country
Phone Number
E-Mail Address
Fax Number
V. EMERGENCY CONTACT
1) Contact Name 2) Contact Name
Relation Relation
Mailing Address Mailing Address
Phone Number Phone Number
Fax Number Fax Number
E-mail Address E-mail Address
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From
VI. PERSONAL REFERENCES
Name and Addresses of three referees who are familiar with your academic ability and performance:
1) Contact Name
Relation
Mailing Address
Phone Number
Fax Number
E-mail Address
2) Contact Name
Relation
Mailing Address
Phone Number
Fax Number
E-mail Address
Mailing Address
City
Religion
Country
Phone number
Mobile Number
Fax Number
e-mail Address
To

3) Contact Name
Relation
Mailing Address
Phone Number
Fax Number
E-mail Address
VII. VERFICATION
All the information provided herein is true to the best of my knowledge and belief.
Signature Date:
Date application fee received
Collected by:
RUCO OFICE USE ONLY
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RUAHA UNIVERSITY COLLEGE (RUCO)
A Constituent College of St. Augustine University of Tanzania (SAUT)
P.O. BOX 774 IRINGA- TANZANIA
Tel: 255- 26-2702431 Fax: 255-26 –2702563 E-mail: ruco@ruco.ac.tz
MEDICAL EXAMINATION FORM
This form consists of Section A to be completed by the applicant and Section B to be completed by a registered Medical
officer or doctor. The completed form must be submitted along with all the other application materials.
SECTION A
(TO BE COMPLETED BY THE APPLICANT)
[Please, Write in Block Letters] I. PERSONAL INFORMATION
First: Middle: Last:
Full Name
Marital Status
Date of Birth
Gender
II. PAST MEDICAL HISTORY
Programme
(1) NERVOUS SYSTEM Herpes Zoster Yes/No
Any loss of consciousness? Yes/No If yes, date of illness:
If Yes, dates of incident: Part of body affected:
Current treatment: Hypertension Yes/No
Any neurological deficiency? Yes /No If Yes, when detected:
If Yes, state deficiency Current treatment:
When acquired: Asthma Yes /No
Current treatment: If Yes, when detected:
Any fits? Yes/No Current treatment :
If Yes, type of fits: Allergies Yes/No
Date of last episode: If Yes, date of last reaction:
Current treatment: Causes of reaction:
(II) MUSCULO-SKELETAL SYSTEM Major Surgeries Yes/No
Any deformity? Yes/No If Yes, type of surgery:
If yes, which part of the body: Date of surgery:
When acquired? Outcome of Surgery:
Use of accessories or aids: Any Heart disease Yes /No
(III) OTHER CHRONIC CONDITIONS If Yes, what disease?
Diabetes Mellitus Yes/No Current treatment:
If Yes, when detected? Any Dietary Restrictions Yes /No
Current status:
Tuberculosis Yes/No
If yes, state restrictions:
If yes, when detected:
Please Note: The applicant is responsible for
Current status: Cured/On going treatment
maintaining any dietary restrictions.
III. DECLARATION
I declare that all the information provided herein is true to the best of my knowledge.
Signature: Date:
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IV. VARIOUS TESTS
(1) GENERAL APPEARANCE
SECTION
(II)
B
CARDIO-RESPIRATORY SYSTEM
(TO BE COMPLETED BY A REGISTERED MEDICAL OFFICER OR DOCTOR)
Height: Weight: (CHEST X-RAY FILM&REPORT ARE NEEDED)
Blood Pressure: Pulse Rate: Lung Fields: Breast Lumps:
Lymphnode Palpable Heart Size: Heart Sound:
Skin Appearance (III) ABNOMAL EXAMINATION
Throat Tonsils (ABNOMAL U.S.S REPORT IS NEEDED. IF MASS
Teenth Dentition: Carious:
DETECTED FILM IS NEEDED)
EARS: Contour: Sunken / Normal /Distended
Rt Hearing: Skin Scar
Umbilicus: Hernia:
EYES: (IV) MUSCULO SKELETAL SYSTEM
Rt VA: Squint: Any Deformation? Yes / No
Lt VA Squint: If Yes which part of the body:
Type of deformity:
(I) BIOCHEMICAL
V. LABORATORY INVESTIGATIONS
(III) HEMATOLOGY (CULTA COUNTER)
Fasting Blood Sugar: Haemoglobin
Serum Creatinine: White Cells Count
Serum Aspantate: (IV) PARASITOLOGY
Serum Alanine T.: Stool Routine Examination
Blood Urea: Treatment
Uric Acid: Urinalysis & Sediment Microscopy
(II) IMMUNOLOGY Treatment:
VDRL Reaction if +ve treatment: Blood Smear for Protozoa, Hemoflagellets &
Widal Reaction if+ve:
Spirachaetae:
Contact with Human Immunodeficiency Virus Sero
Conversion (optional): Treatment:
VI. OTHER OBSERVATIONS
Any other observations whether irritable or aggressive:
VII. DECLARATION
I Dr.------------------------------------------ of------------------------------------------------------has examined the named
candidate---------------------------------------------------- and conclude that the candidate is/is not suitable to attend a
three/four year degree programme at Ruaha University College-Iringa.
Signature with official stamp: --------------------------------- Date:----------------------------------------
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