Livestock Training Agency- admission Office

For Official Use Only Form No: …..……….. ERV no………………… Date ……….………..…

Affix a passport size photograph with your name clearly printed at the back

1. PROGRAMME OFFERED:- Indicate one choice of your preference

2. QUALIFICATION

• 
  A candidate must have passed ACSEE science subjects i.e. Biology, Chemistry, Physics, Mathematics, Geography and Agriculture with a minimum qualification of at least two subsidiaries in science subjects OR
  
• 
  A candidate must have passed certificate course in Animal Health and Production (AHPC), Agriculture and Veterinary Science (Agro-vet) and Certificate in Agriculture and Livestock Production (CALP) which are equivalent to NTA level 5
  

ii) CERTIFICATE COURSES

• 
  A candidate must have passed CSEE at list three science subjects i.e. Biology, Chemistry, Physics, Mathematics, Geography and Agriculture with a minimum qualification of at least grade D in three science subjects.
  

NB:

3. FEE STRUCTURE

Direct Agency Costs

Direct Student Costs

Note:

1. 
   Payment made for selected or discontinued student will be non-refundable.
   
2. 
   Wrongly payment to LITA Account will be subject to 10% deduction as service charges.
   
3. 
   For Tanzanian Direct Agency Costs must be paid to Agency Bank Account and Campus Bank Accounts while Direct Student Costs must be paid to Student Bank account
   

4. SPONSOR INFORMATION

5. PERSONAL INFORMATION

NAME (First)		Second		Last
PRESENT ADDRESS		POSTAL BOX		City/Town TELEPHONE
DATE OF BIRTH Date Month Year	SEX Male Female		MARITAL STATUS Single Married Other
NEXT OF KIN (NAME)			RELATIONSHIP		TELEPHONE
Citizenship Tanzanian * Others *Specify………………….. Email Address ………………………………………………..

(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)

6. 
   DEAD LINE FOR APPLICATION: 15 JULY 2015
   

7. 
   APPLICANT DECLARATION
   

1. PROGRAMME OFFERED:

Specialised Diploma in Dairy Technology (SDDT)

2. QUALIFICATION

• 
  A candidate must have passed Diploma in the following fields: Animal Health (DAH), Animal Production (DAP) and Animal Health and Production (DAHP).
  
• 
  A candidate must have passed Science degree in the following fields: Animal Production, Veterinary Science, Human Nutrition or Food Technology and Processing
  

NB. Selected candidates shall be informed through Newspapers and Website: www.mifugouvuvi.go.tz/ organization /Agencies / LITA

3. FEE STRUCTURE

4. SPONSOR INFORMATION

5. PERSONAL INFORMATION

NAME (First)		Second		Last
PRESENT ADDRESS		POSTAL BOX		City/Town TELEPHONE
DATE OF BIRTH Date Month Year	SEX Male Female		MARITAL STATUS Single Married Other
NEXT OF KIN (NAME)			RELATIONSHIP		TELEPHONE
Citizenship Tanzanian * Others *Specify………………….. Email Address ………………………………………………………..

(Note: This Information is required for the Campus to arrange appropriate means of assisting you once admitted. It will in no way affect the decision to admit you)

6. 
   DEAD LINE FOR APPLICATION: 15^TH JULY 2015
   

7. 
   DECLARATION
   

Receiving officer: ……………………………………. Signature and date: ………...………………