GREAT ZIMBABWE UNIVERSITY
BOX 1235
MASVINGO
Tel+263 39 2266 648,58,60,62
08677004747

GREAT ZIMBABWE UNIVERSITY
BOX 1235
MASVINGO
Tel+263 39 266 648,49,52,54

 
GREAT ZIMBABWE UNIVERSITY
BOX 1235
MASVINGO
Tel (039) 253507

		

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APPLICATION FOR DOCTOR OF PHILOSOPHY (DPHIL) AND MASTER OF PHILOSOPHY (MPHIL) M 20

1.  PERSONAL DETAILS                                                              

SURNAME:                _________________________________   	FIRST NAME:                 ________________________________________
DATE OF BIRTH:       _________________________________    PLACE OF BIRTH:         ________________________________________	
SEX:                          _________________________________     TITLE:                            ________________________________________                     MARITAL STATUS:   _________________________________     PREVIOUS SURNAME (IF ANY):________________________________               NATIONAL I.D.:         _________________________________     RACE:                             _______________________________________                    NATIONALITY:          ________________________________	CITIZENSHIP:                  ______________________________________
PROVINCE:               ________________________________      RELIGION:                      _______________________________________                                                                                 
	YES	NO	IF YES TYPE AND /OR ATTACH PROOF WHERE POSSIBLE	
ANY PHYSICAL DISABILITY				
				        
2. CONTACT DETAILS (All correspondence will be forwarded to the Physical Address)                                                            

PHYSICAL ADDRESS:   ______________________________     NEXT OF KIN’S NAME:   ________________________________________                                                             _                                       ______________________________    RELATIONSHIP               ________________________________________                                                            ______                             ______________________________    NEXT OF KIN ADDRESS:________________________________________
__CELL/ TEL:                     ______________________________      	                       ________________________________________
Email Address:                ______________________________     CELL/ TEL:                      ________________________________________

3.  PROGRAMME CHOICES (PLEASE INDICATE PROGRAMME AND AREA OF SPECIALISATION (IF ANY), NB: turn to page 4 for programmes)

FIRST CHOICE PROGRAMME:  	___________________________DISCIPLINE____________________________

SECOND CHOICE PROGRAMME:	__________________________   DISCIPLINE____________________________

RESEARCH AREA_____________________________________________________________________________________

TICK APPROPRIATE 

INTAKE TYPE:    FULL TIME	PART TIME                      
      	
 PROSPECTIVE SPONSORSHIP:  --------------------------------------------------------------------------------------------------------

                                                                                     FOR OFFICE USE ONLY

RECEIPT NUMBER:               …………………………………..                                                DATE OF RECEIPT:………………………………………………………

APPLICATION NUMBER      ……………………………………                                                DATE RECEIVED:  ........…………….........………………......

4.  ACADEMIC HISTORY

SCHOOL EXAMINATIONS RESULTS 

MONTH         YEAR
(EG. 11/04)	EXAMINATION BOARD
(EG. ZIMSEC, AEB)	‘O’ LEVEL OR EQUIVALENT	SUBJECT	RESULT/
GRADE	
			MATHEMATICS		
			ENGLISH		

					

					
		‘A’ LEVEL			

					

4.1	POST SCHOOL LEAVING STUDIES
COLLEGES/UNIVERSITY (IF OUTSIDE ZIMBABWE GIVE ADDRESS)

DATE OF AWARD 	PROGRAMME UNDERTAKEN
DEGREE/DIPLOMA/CERTIFICATE	NAME OF UNIVERSITY/
COLLEGE	DEGREE CLASS	

				

				

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4.2	RESEARCH AND TEACHING EXPERIENCE

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4.3	RELEVANT PUBLICATIONS (WHERE APPLICABLE)
---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------

5.  EMPLOYMENT HISTORY

GIVE DETAILS OF EMPLOYMENT AND EXPERIENCE

COMPANY/INSTITUTION	OCCUPATION	JOB DESCRIPTION/DUTIES	FROM	TO	

					

					

=======================================================================================	
ARE YOU UNIVERSITY STAFF OR DEPENDENT (i.e. wife, husband or child)	
IF ‘YES’ PLEASE GIVE NAME, DEPARTMENT AND TELEPHONE
..........................................................................................................................................................................................................................................................................................................................................................................................................................

6.  REFEREES (GIVE NAMES AND ADDRESSES OF TWO PERSONS, AT LEAST ONE FROM YOUR PREVIOUS UNIVERSITY WHO ARE FAMILIAR WITH YOUR ACADEMIC ABILITY AND PERFORMANCE)

1.  NAME:       __________________________________	2.  NAME          _____________________________________
   
     ADDRESS _________________________________                     ADDRESS    ___________________________________
        	        __________________________________	                    ____________________________________
    CELL/TEL:   __________________________________                 CELL/TEL:      ___________________________________
		             								
7.  DECLARATION

I DECLARE THAT THE INFORMATION THAT I HAVE GIVEN IS CORRECT, AND THAT SHOULD IT BE FOUND TO BE FALSE; MY APPLICATION WILL BE DISQUALIFIED AND WILL FACE LEGAL ACTION.  I HEREBY AGREE TO BE BOUND BY CONDITIONS OF APPLICATION, TO SIGNIFY WHICH I HEREBY ADDEND MY SIGNATURE.

DATE:	_______________________	                                          SIGNATURE:  _____________________________________

8.  CHECKLIST AND INSTRUCTIONS
Attach photocopies of all certificates.
Please fill in all pages. Subsequent to completing your application form please attach certified copies of the following documents:
1.	National ID/Passport	
2.	Birth Certificate
3.	‘O’ and ‘A’ Level certificates
4.	Professional Certificates(if any)
5.	Academic Certificates and transcripts
6.	Marriage Certificate (where applicable)
7.	Research Proposal (refer to department for specifications)
Application forms are available from website www.gzu.ac.zw.  Submit the downloaded form together with application fees as advertised in the paper and submit before closing date of advertised programmes and for late entries please refer to the advert.

                                                                                                                                          YES   NO
8.1	 I HAVE COMPLETED ALL SECTIONS OF THE FORM
8.2	 I HAVE ENCLOSED CERTIFIED COPIES OF ALL DOCUMENTS
8.3	I HAVE ATTACHED RESEARCH PROPOSAL
8.4	I HAVE SIGNED THIS FORM					   
            NB:       ONLY SUCCESSFUL CANDIDATES WILL BE CONTACTED

NOTE: Completed applications must be forwarded to Admissions and Student Records Office at:	

Postal Address			Physical Address
Great Zimbabwe University		Great Zimbabwe University
P. O. Box 1235			Off Old Great Zimbabwe Road
Masvingo				Masvingo
admissions@gzu.ac.zw