Application Form
1. Classification of Admission
I am applying for admission for:
Extension
Regular
Weekend
Distance
1. PERSONAL INFORMATION
1.1 Full Name (English):
Full Name (Amharic, for Ethiopians):
1.2 Sex:
Male
Female
1.3 Place of Birth (G.C):
1.4 Date of Birth (G.C):
Date of Birth (E.C):
1.5 Current Residential Address:
1.6 Marital Status:
Single
Married
Other
1.7 Person to be contacted in case of emergency:
2. Licensed Degree Programs
--Select Program--
Construction Technology & Mgt
Agricultural Resource Economics & Mgt
Surveying Technology
Midwifery
Computer Science
Public Health
Agricultural Economics
Nursing
Accounting
Sociology & Social Anthropology
Business Management
Rural Development & Agri. Extension
Electrical Engineering
Economics
Marketing Management
Community Development & Leadership
Health Service Mgt
Sugars and Alcohol Technology
Information System
Clinical Pharmacy
3. EDUCATIONAL BACKGROUND
4. Work Experience
5. Document Upload
Upload your documents:
Upload Profile Photo:
Submit Application